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Maja Miloš

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Ana Perinić Lewis, P. Rajić Šikanjić, Maja Miloš, B. Kolarić

On islands and in island communities, especially smaller and more isolated ones, epidemics were often of greater intensity and left more significant consequences than on the mainland. The unique characteristics of an island (size, remoteness, isolation, small population size, and several manageable access points) affect the transmission of mainland epidemics and their frequency. The current global COVID-19 pandemic is an opportunity to investigate how the infection and epidemiological measures affected the life and death of island communities. The pandemic has brought mass death into our daily lives and altered the way people grieve, commemorate and remember their deceased. This paper presents the experiences and feelings of people during the COVID-19 pandemic on Croatian islands, with a focus on death, funerals, mourning, and the loss of family members. Due to the impossibility of carrying out the usual practices related to the funeral because of COVID-19 restrictions, the process of mourning and dealing with the loss of loved ones was difficult. Island communities accepted the new rules and adapted to the new circumstances but indicated that island-specific and more flexible crisis management should be applied during this health crisis. Some epidemiological measures, such as social distancing, internal island travel restrictions, and reduced gatherings, were highlighted by islanders as challenging and sometimes unnecessarily strict for some islands and their specific situations. For family members of those who died from COVID-19, additional factors and challenges have complicated their loss. Digital and social media were used to connect people and helped in coping with mourning in solitude and isolation. In this global pandemic, island communities responded to the impact of pandemic crises and adapted to new circumstances of the “new normal”.

Maja Miloš, U. Rodin, D. Tješić-Drinković, A. Mujkić

Aim To analyse available breastfeeding data in Croatia and to describe the process of gathering, collecting, recording and reporting on them to the official institutions. Methods Infant nutrition data collected at maternity wards and infant nutrition data from primary health care units during the period 2005 to 2016 have been used. Descriptive statistics was used to analyse the data and to show the trends in breastfeeding. Results More than 85% of newborns were exclusively breastfed in the maternity wards. Data on breastfeeding from primary health care showed growth in exclusive breastfeeding up to 2011, followed by a fall in 2013. From 2012, paediatric teams had the obligation to join information system (CEZIH), but electronic forms did not contain infant nutrition information. Similarly in the E-Newborn project (E-novorođenče) the question on the feeding method in the application was not designated as mandatory. Conclusion The routinely collected data on breastfeeding did not allow us to draw any conclusion regarding breastfeeding trends in Croatia. In order to improve the process of gathering, recording and reporting data on breastfeeding to the proper authorities, it would be necessary to clearly align definitions, employ a uniform methodology, and upgrade the computer applications in primary health-care. Only then may the reports required for compulsory health insurance be obtained via the CEZIH, as well as the public health reports necessary to monitor preventive work in care of children's health, and monitoring public health indicators.

Vanja Vasiljev Marchesi, Maja Miloš, T. Rukavina

Symposium will traditionally be held in Rijeka, Croatia. It will be focused on mental health as a Global Development Priority. According to World Health Organization, mental disorders impose an enormous disease burden on societies throughout the world. The Symposium is aimed at bringing together a wide variety of specials in the field of mental health with the purpose to show good practice examples, latest trends and improvements, new strategies and policies with the main goal of exchanging experience. You will have certainly a meaningful experience and opportunities to join conversations in formal and informal environment. An exciting and informative conference program includes invited lectures, workshops on a variety of topics, poster presentations and various social programs.

Introduction: Neuroimaging procedures and electroencephalography (EEG) are basic parts of investigation of patients with epilepsies. Aim: The aim is to try to assess relationship between bilaterally localized brain lesions found in routine management of children with newly diagnosed epilepsy and their interictal EEG findings. Patients and methods: Total amount of 68 patients filled criteria for inclusion in the study that was performed at Neuropediatrics Department, Pediatric Hospital, University Clinical Center Sarajevo, or its outpatient clinic. There were 33 girls (48,5%) and 35 boys (51,5%). Average age at diagnosis of epilepsy was 3,5 years. Results: Both neurological and neuropsychological examination in the moment of making diagnosis of epilepsy was normal in 27 (39,7%) patients, and showed some kind of delay or other neurological finding in 41 (60,3%). Brain MRI showed lesions that can be related to antenatal or perinatal events in most of the patients (ventricular dilation in 30,9%, delayed myelination and post-hypoxic changes in 27,9%). More than half of patients (55,9%) showed bilateral interictal epileptiform discharges on their EEGs, and further 14,7% had other kinds of bilateral abnormalities. Frequency of bilateral epileptic discharges showed statistically significant predominance on level of p<0,05. Cross tabulation between specific types of bilateral brain MRI lesions and EEG finding did not reveal significant type of EEG for assessed brain lesions. Conclusion: We conclude that there exists relationship between bilaterally localized brain MRI lesions and interictal bilateral epileptiform or nonspecific EEG findings in children with newly diagnosed epilepsies. These data are suggesting that in cases when they do not correlate there is a need for further investigation of seizure etiology.

Vanja Vasiljev Marchesi, D. Roviš, Gordana Šimunković, Maja Miloš, D. Juraga, L. Bilajac, T. Rukavina

Main goal of this work is to present the ongoing IPA project named “The holistic approach to treatment, social and economic reintegration of drug addicts” which refers to building the multidisciplinary and multisector cross border (Croatia, Slovenia) capacity for challenges of modern needs of drug addicts. This project is financed by the Instrument for Pre-Accession Assistance (IPA) 2007.-2013. and includes six partners from Primorsko-goranska county (Croatia) and Coastal-Kras area (Slovenia). The main goals of the projects are cross border connection of capacities of public health, universities, non-governmental organizations with the aim of health protection, and focus of drug addiction prevention and drug enforcement ; exchange of knowledge and experiences in drug treatment, rehabilitation and drug abuse ; connection of resources and capacities of scientific and public health institutes in the field of innovative diagnostic, monitoring and epigenetics ; connection of universities of the two regions for developing a new area of high education in southeast Europe. Faculty of Medicine as a partner is included in formation of the curricula of scientific doctoral study of Public Health, and developing two lifelong learning programs for the professionals working in the field of health promotion. This project promotes regional approach of resolving drug addiction challenges according to EU Drugs Strategy (2005.-2012.).

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