scholarly journals History of dermatology and venereology in Serbia - part III/1: Dermatovenereology in Serbia from 1881 - 1918

2009 ◽  
Vol 1 (3) ◽  
pp. 123-127
Author(s):  
Bosiljka M. Lalević-Vasić

Abstract This paper deals with the period from 1881 to 1918, when the following Sanitary Laws were passed: Law on the Organization of the Sanitary Profession and Public Health Care (1881), which implemented measures for protection from venereal diseases, as well as restriction of prostitution; Public Sanitary Fund (1881), with independent budget for health care; Announcement on Free of Charge Treatment of Syphilis (1887). Dermatovenereological Departments were also founded: in the General Public Hospital in Belgrade (1881), and in the General Military Hospital (1909). The Hospital in Knjaževac for Syphilis was reopened (1881), as well as mobile and temporary hospitals for syphilis, and a network of County and Municipality hospitals. The first Serbian dermatovenereologist was Dr. Jevrem Žujović (1860 - 1944), and then Dr. Milorad Savićević (1877 - 1915). Skin and venereal diseases were treated by general practitioners, surgeons, internists and neurologists. Although Dr. Laza Lazarević (1851 - 1890) was not a dermatologist, but a physician and a writer, he published three papers on dermatovenereology, whereas Dr. Milorad Godjevac (1860 - 1933) wrote an important study on endemic syphilis. From 1885 to 1912, organization of dermatovenereology service has significantly improved. Considering the fact that archive documents are often missing, only approximate structure of diseases is specified: in certain monthly reports in Zaječar, out of all the diseased persons, 45% had skin or venereal diseases, while in Užice the number was 10.5%, which points to different distribution of these diseases. High percentage of dermatovenereology diseases was caused by high frequency of venereal diseases and syphilis. During the war: 1912 - 1918, the military medical service dominated, and in 1917 Prince Alexander Serbian Reserve Hospital was founded in Thessaloniki with a Department for Skin and Venereal Diseases. During this period, work of the Civilian Health Care Service was interrupted, consequently leading to a considerable aggravation of public health.

2010 ◽  
Vol 2 (2) ◽  
pp. 66-72
Author(s):  
Bosiljka M. Lalević-Vasić ◽  
Marina Jovanović

Abstract After the First World War, Serbia was facing the lack of hospitals and physicians, and organization of the health care system was a real challenge. Both problems were closely associated with dermatovenereology. Between the two world wars, a great contribution to the development of Serbian dermatovenereology as a current discipline was given by Prof. Dr. Đorđe Đorđević, who was the first director of the Clinic for Skin and Venereal Diseases in Belgrade (1922 - 1935), and by his closest associate Prof. Dr. Milan Kićevac (1892 - 1940) who was his successor at the position of the director of the Clinic (1935 - 1940). In 1922, Prof. Dr. Đorđe Đorđević was the founder of two institutions significant for Serbian dermatovenereology: Clinic for Skin and Venereal Diseases, where he also acted as a director, and the Department of Dermatovenereology at the School of Medicine in Belgrade, where he was the first teacher of dermatovenereology. In 1927, Prof. Dr. Đorđe Đorđević initiated the foundation of the Dermatovenereology Section of the Serbian Medical Society, and he and his associate and successor, Prof. Dr. Milan Kićevac were the main organizers of the Association of Dermatovenereologists of Yugoslavia. With this Association, all other regional dermatovenereology sections in the County became parts of the Pan-Slavic Dermatovenereology Association. Prof. Dr. Đorđe Đorđević and Prof. Dr. Milan Kićevac also organized the First, Second and the Third Yugoslav Dermatovenereology Congresses (1927, 1928, and 1929), and in 1931, the Second Congress of Pan-Slavic Dermatovenereology Association. Their teamwork resulted in legislation concerned with health care, eradication of venereal diseases and prostitution, and finally with setting the foundation for professional and scientific dermatovenereology in Serbia. Prof. Đ. Đorđević investigated current problems of venereal diseases and organized professional expeditions in Serbia and Montenegro studying the expansion of syphilis. However, in his experimental work, Prof. M. Kićevac investigated photo-dermatoses and the IV venereal disease, at the same time pointing to immunological phenomena in streptococcal and staphylococcal infections. Dr. Vojislav Mihailović (1879 - 1949) was a significant figure in Serbian dermatovenereology and acted as the Chief of the Department of Skin and Venereal Diseases within the General Public Hospital in Belgrade. His scientific papers and books on the history of dermatovenereology and general medicine had a great impact on the Serbian dermatovenereology. His books dealing with the history of dermatovenereology: “The History of Venereal Diseases till 1912” and “Out of the History of Sanitary Health Care in the Rebuilt Serbia from 1804 - 1860”. Associate Professor Dr. Sava Bugarski (1897 - 1945), a student of Prof. Dr. Kićevac and later the director of Clinic for Skin and Venereal Diseases in Belgrade (1940 - 1945), was engaged in the field of experimental dermatovenereology. Dr. Jovan Nenadović (1875 - 1952), one of the most eminent physicians in Novi Sad, took part in the foundation and work of the Dermatovenereology Section of the Serbian Medical Society as well as its honorary life president. In 1919, he founded the Dermatovenereology Department within the Novi Sad Hospital, as well as an Outpatient Dermatovenereology Clinic, outside the Hospital, although he was the director of both institutions. In the period between the two world wars, among the most prominent physicians of the Military Sanitary Headquarters who contributed the development of dermatovenereology were the chiefs of the Dermatovenereology Department of the General Military Hospital in Belgrade: Major, later on, Brigadier General, Dr. Božidar Janković (1874 - 1936), and the Sanitary Brigadier General, Dr. Milivoje Pantić (1885 - 1959). Dr. B. Janković wrote important professional papers, among which the following are most significant: ”Fight against Venereal Diseases in the Army” and ”Treatment of Syphilis with Silber-Salvarsan.” Distinguished physicians of the military sanitary service, such as Dr. Petar Davidović, made significant contributions to the work of civilian dermatovenereology institutions of that time. In 1921, Dr. Petar Davidović was the director of the newly founded Venereal Department of the Niš Public Hospital, which was on a high professional level.


2010 ◽  
Vol 2 (1) ◽  
pp. 26-31
Author(s):  
Bosiljka M. Lalević-Vasić ◽  
Marina Jovanović

Abstract After the First World War, Serbia was ravaged and in ruins, whereas the Health Care Service was destroyed. Organization and reorganization of the Health Care Service started with a fight against the spread of infectious diseases. Foundation of specialized health institutions was among the first tasks. As early as 1920, an Outpatient Service forSkin and Venereal Diseases was established and managed by Prof. Đorđe Đorđević. In 1922, after he was appointed as Associate Professor at the newly established Faculty of Medicine in Belgrade, he founded a Clinic for Skin andVenereal Diseases, and acted as its first director. In 1928, a Municipal Outpatient Clinic for Skin and Venereal Diseases was founded, whereas in 1938 a modern organization of the Service was established in a new building. After a break during the I World War, the Dermatovenereology Department of the General Military Hospital in Belgrade, founded in 1909, continued working until the Second World War. In Novi Sad, the City Hospital was founded in 1909, including a Dermatovenereology Department. After the First World War, in 1921, Dr. Jovan Nenadović founded a Department of Skinand Venereal Diseases (100 beds) in the General Public Hospital, as well as, an independent Public Outpatient Clinic for free-of-charge treatment of patients with venereal diseases. In Niš, the first Organization Unit for Venereal Diseases was founded in 1912, but the Department of Venereal Diseases was founded in 1921, and it was managed by Dr. Petar Davidović, while in 1927 a Department of Skin and Venereal Diseases was established within the General PublicHospital. In 1920, a Dermatovenereology Department of the Military Hospital in Niš was established. Apart from these, as early as 1921, there was a total of 7 Outpatient Clinics in Serbia, and in 1923 there were 14 venereal departments, and 1 dermatovenereology department.


2017 ◽  
Vol 12 (7) ◽  
pp. 1033-1042 ◽  
Author(s):  
Sara Albolino ◽  
Riccardo Tartaglia ◽  
Tommaso Bellandi ◽  
Elisa Bianchini ◽  
Giancarlo Fabbro ◽  
...  

2009 ◽  
Vol 283 (1-2) ◽  
pp. 298-299
Author(s):  
J.I. Siqueira-Neto ◽  
O.M. Pontes-Neto ◽  
J.D.V. Castro ◽  
L. Wichert-Ana ◽  
F.A.C. Vale ◽  
...  

2009 ◽  
Vol 1 (4) ◽  
pp. 159-165
Author(s):  
Bosiljka M. Lalević-Vasić

Abstract Owing to the enforced sanitary laws, the health care service in Serbia evolved systematically till the beginning of the Balkan Wars (1912). At the early phase of this period, in general hospitals dermatovenereology diseases accounted for 10.5% (Užice) to 45% (Zaječar), while venereal diseases prevailed (83.3% and 16.7%, respectively). In the period from 1880 to 1897, there were 12.354 Serbian soldiers with venereal diseases: 56.9% had Gonorrhoea, 28.9% had Ulcusmolle, and 14.2% had Syphilis. The first official and professional statistics on Syphilis was done in 1898, and according to the report, 0.26% of the population of Serbia was affected by Syphilis: 1.42% in the Timok Region and 0.27% in Belgrade. Nevertheless, these data must be taken with caution, being very low. In regions with endemic Syphilis, tardive and tertiary Syphilis prevailed, whereas out of these regions, secondary forms of the disease were most common. In the period from 1882 to 1910, according to the reports of the Sanitary Department of the Ministry of Defense, skin diseases were reported in 3.1% to 15.2% of all hospitalized soldiers. Leprosy was diagnosed in 15 cases in Serbia; notification of all cases became compulsory in 1890. From 1912 to 1918, Serbia was at war, and the most common skin disease was a dermatozoonosis - pediculosios (lice infestation), which caused a tragic epidemic of exanthematous typhus in the army, but also among civilians. It was estimated that there were 500.000 sick persons, out of which over 150.000 died, including 56% of physicians and other medical staff working in hospitals. Disinfestation was the main treatment modality, using steam in so called “Serbian barrel”. At the Thessaloniki front line, in the Dermatovenereology Department, there were 41 dermatoses or groups of dermatoses, affecting the hospitalized soldiers, but scabies was scarce, owing to good hygiene. After the end of the First World War, the Serbian army and population were decimated, and the country ruined. Reconstruction of the country began once again.


2021 ◽  
Author(s):  
Massimo Esposito ◽  
Marcello Sartori ◽  
Emilio Terlizzi ◽  
Roberto Antenucci ◽  
Elena Braghieri ◽  
...  

Abstract This article introduces the report on the difference occurred in management of ALS patients by an italian Public Health Care Service through 15 years with-and without DTCP (Diagnostic and Therapeutic Care Pathway) during three timeframes. The article illustrates Demography, Provenance and Territorial context of the patients in charge. The formalization of the staging-based ALS DTCP appears to have increased and improved the possibility of clinical taking in charge of patients.


2021 ◽  
Vol 5 (1) ◽  
pp. e8
Author(s):  
Hyrean Jeong ◽  
Jeehee Pyo ◽  
Minsu Ock

Introduction: In order to strengthen the core competencies of workers, systematic education tailored to their needs is necessary. In this study, a survey was conducted on workers in public health care service in Ulsan Metropolitan City (Ulsan) to investigate the demand for education according to core competencies.Methods: A total of 70 workers who work for public health care service in Ulsan participated in this online survey. The questionnaire consisted of socio-demographic factors, work ability, education demand, and preference of education form.Results: The core competency with a high level of work ability is ‘Expertise on health and disease’ (41, 58.6%). On the other hand, the core competency with a low level of work ability was found to be the ‘Evaluation-related theories of public health care service’ (57, 81.4%). The core competencies with the highest demand for education were “Resident-centered service implementation” and “Public health care service strategy development” (64, 91.4%), followed by ‘Public health care service cases review’ and ‘knowledge of public health service plan’ (63, 90.0%). The preferred form of education is offline education (49, 40.8%). The most important factor in education was ‘work utilization’ (Offline: 57, 81.4%; Online: 48, 68.6%), both online and offline.Conclusions: Through the research results, it was possible to find out education demand according to core competencies and preference of education form. Based on these results, we will develop a core competency education program tailored to actual demand. In the future, it is necessary to continuously conduct research on such education demand.


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