What the Croatian doctors want to be learning about?

The aim of the study was to examine doctor's attitude about topics in continuing medical education (CME) using anonymous questionnaire that was given to the members of the Croatian Medical Association in Rijeka. The questions concerned doctor's interest of certain medical fields, influence of CME to their everyday practice, and importance of getting credits for re-licensure as a motive to participate in CME. The highest interest was shown for CME in emergency/intensive medicine and the lowest for transplantation medicine. The doctors in primary care showed statistically significantly higher interest for CME in family medicine, pulmology, rheumatology and rehabilitation medicine than hospital doctors. The influence of CME in everyday practice and the importance of getting credits for re-licensure as a reason to participate in CME, in the most cases, have been graded with medium grade 3. The results indicated the existence of specific needs in CME and stressed the importance of having CME with topics from clinical practice.     

Developing a global psychotherapeutic approach to schizophrenia: results of a five-year follow-up

This is an account of a long-range action research project to determine indications for and effects of a comprehensive psychotherapeutic approach, including various treatment modalities, in the treatment of schizophrenics. Four diagnostic groups were established among the 100 patients. In the course of data analysis, the group of typical schizophrenics (56 percent) was contrasted to or compared with the entire series. A further diagnostic differentiation was established according to ego functioning; i.e., imminent, acute, regressive, and paranoid ego disintegrations, respectively. Patients and family members were interviewed upon admission, and again two and five years later, and the data recorded on a 163-item form from which 40 clinical and psychosocial variables were constructed after the baseline examinations. In addition to cross-tabulation, logistic regression analysis was employed. The conclusion that the follow-up study supports the effectiveness of our global psychotherapeutic approach to treating schizophrenia seems justified. Results so far indicate that five modes of therapy in addition to drug treatments are optimal for different patients. The five modes are long-term individual psychotherapy, couple or conjoint family therapy for married patients, family therapy with the family of origin, flexible short-term crisis intervention with a family focus, and extensive long-term treatment focused on social rehabilitation for the most ill-starred patients.     

Modeling tumor growth with random onset

The longitudinal assessment of tumor volume is commonly used as an endpoint in small animal studies in cancer research. Groups of genetically identical mice are injected with mutant cells from clones developed with different mutations. The interest is on comparing tumor onset (i.e., the time of tumor detection) and tumor growth after onset, between mutation groups. This article proposes a class of linear and nonlinear growth models for jointly modeling tumor onset and growth in this situation. Our approach allows for interval-censored time of onset and missing-at-random dropout due to early sacrifice, which are common situations in animal research. We show that our approach has good small-sample properties for testing and is robust to some key unverifiable modeling assumptions. We illustrate this methodology with an application examining the effect of different mutations on tumorigenesis.     

Evidence-based alternative medicine?

The validity of evidence-based medicine (EBM) is the subject of ongoing controversy. The EBM movement has proposed a "hierarchy of evidence," according to which randomized controlled trials (RCTs) and meta-analyses of RCTs provide the most reliable evidence concerning the efficacy of medical interventions. The evaluation of alternative medicine therapies highlights problems with the EBM hierarchy. Alternative medical researchers-like those in mainstream medicine-wish to evaluate their therapies using methods that are rigorous and that are consistent with their philosophies of medicine and healing. These investigators have three ways to relate their work to EBM. They can accept the EBM hierarchy and carry out RCTs when possible; they can accept the EBM standards but argue that the special characteristics of alternative medicine warrant the acceptance of "lower" forms of evidence; or they can challenge the EBM approach and work to develop new research designs and new standards of evidence that reflect their approach to medical care. For several reasons, this last option is preferable. First, it will best meet the needs of alternative medicine practitioners. Moreover, because similar problems beset the evaluation of mainstream medical therapies, reevaluation of standards of evidence will benefit everyone in the medical community--including, most importantly, patients.     

Balint groups as 'shared care' in the area of mental health in primary medicine

This paper describes how Balint groups can be effective for primary care doctors and how leaders of these groups can act as role models in the interdisciplinary, experiential learning experience. The paper describes the way Balint activity helps the facilitation of a dialogue between mental health professionals and primary care physicians. While these groups have been found to improve the sensitivity of doctors in their interaction with patients, Balint groups, with the joint leadership of professionals from different disciplines, can be seen as an effective method to improve primary care and mental health cooperation. These issues are discussed and appropriate examples outlined offering an uncommon perspective on an interesting topic to promote an integrated, shared model of care.     

The effect of close approaches for tagging activities by small research vessels on the behavior of humpback whales (Megaptera novaeangliae)

Small research vessels are often used as platforms for tagging activities to collect behavioral data on cetaceans and they have the potential to disturb that group or individual. If this disturbance is ignored, results and conclusions produced by that study could be inaccurate. Here land‐based behavioral data of migrating humpback whales (Megaptera novaeangliae) (n = 29) were used to determine the effect of close approaches for tagging by research vessels on their diving, movement and surface behaviors. Groups of whales were tagged, using digital recording tags, by small research vessels, as part of a behavioral response study. In groups that were approached for tagging, temporary changes in movement behaviors during close approaches were found, with subsequent recovery to “pre‐approach” levels. In female‐calf groups more long‐term changes in travel speed were found. Results suggest that, although close approaches for tagging by small vessels may cause behavioral changes in humpback whales, this change may be small and temporary. However, in female‐calf groups, the behavioral change may be greater and longer lasting. This study shows that when using small vessels for behavioral research, disturbance, and recovery should be measured to ensure integrity of data used for other analyses.     

Tracking variability: recent anthropometric data for croatian population and comparison with other world populations

The variability that exists within the populations of individual countries and the variability that exists between the populations of different countries are both of interest in practical application. For these reasons, a comparison is made in this work between certain anthropometric variables of our sample of Croatian population and anthropometric variables that are available for other human populations in the world of the same or a similar age. The total sample was 1,372 subjects aged from 23 to 59 years old. For the purpose of comparison, data were taken from the study "International Data on Anthropometry" which provides an overview of anthropometric variables for many world populations, as well as data from Rudan's research that was carried out on Croatian population in the late seventies of the last century. Mean value, standard deviation and coefficient of variation have been calculated for every measured parameter. A comparison between the two research samples of Croatian population fairly displays up going trend, for body mass and other bodily dimensions, formed in three decades of difference. Mean value for body height in Rudan's sample is 161.0 cm, and for Bubas's sample in this research was 170.6 cm, both values state for Croatian population but with difference of more than 30 years. Human biologists use term "secular trend" to describe alterations in the measurable characteristics of a population of humans that occur over a century. Accordingly, in adult age, the rate of gain, concerning body height, is 10 to 30 mm per decade. The changes in body proportions during recent decades are less marked than those in body size, but the relationships between stature and weight within one national group have changed significantly.     

From the history of Croatian dentistry: 100th anniversary of the birth of Professor Sime Kordić (1909-1984)

The aim of this study was to pay tribute to the memory of extraordinary Croatian Professor of children's and preventive dentistry Sime Kordi? on the occasion of the 100th anniversary of his birth. The biography and work of this scientist and teacher were presented, as well as his researches about the history of dentistry and medicine in our coastal cities. On the bases of his published papers, we analyzed a significant role of Professor Sime Kordi? for the development of dental medicine and promotion of health culture in Croatia.     

Sequence-based prediction of pathological mutations

The development of methods to assess the impact of amino acid mutations on human health has become an important goal in biomedical research, due to the growing number of nonsynonymous SNPs identified. Within this context, computational methods constitute a valuable tool, because they can easily process large amounts of mutations and give useful, almost cost-free, information on their pathological character. In this paper we present a computational approach to the prediction of disease-associated amino acid mutations, using only sequence-based information (amino acid properties, evolutionary information, secondary structure and accessibility predictions, and database annotations) and neural networks, as a model building tool. Mutations are predicted to be either pathological or neutral. Our results show that the method has a good overall success rate, 83%, that can reach 95% when trained for specific proteins. The methodology is fast and flexible enough to provide good estimates of the pathological character of large sets of nonsynonymous SNPs, but can also be easily adapted to give more precise predictions for proteins of special biomedical interest.     

Excavating Culture: Disentangling Ethnic Differences From Contextual Influences in Parenting

Historically, much of the research on parenting has not disentangled the influences of race/ethnicity, SES, and culture on family functioning and the development of children and adolescents. This special issue addresses this gap by disentangling ethnic differences in parenting behaviors from their contextual influences, thereby deepening our understanding of parenting processes in diverse families. Six members of the Parenting Section of the Study Group on Race, Culture, and Ethnicity (SGRCE) introduce and implement a novel approach toward understanding this question. The goal of this project is to study culturally related processes and the degree to which they predict parenting. An iterative process was employed to delineate the main parenting constructs (warmth, psychological and behavioral control, monitoring, communication, and self-efficacy), cultural processes, and contextual influences, and to coordinate a data analytic plan utilizing individual datasets with diverse samples to answer the research questions.     

Letter from the Editor

The development of therapeutics is a complex and costly process with low probabilities of approval success. All stakeholders, from academic researchers to patients, have an interest in improving the efficiency of the process so that effective medicines are available. Stratified medicine, in which therapies are prescribed only to patients identified by one or more biomarkers, is one approach to achieving this end. Adoption of this approach by the pharmaceutical industry might at first appear to be unlikely because market sizes would be reduced; however, the benefits of targeting the right patient with an effective drug while potentially also reducing adverse events could outweigh the economic disadvantages of the strategy.     

Nutritional studies in Croatia--a century of research

This paper is dedicated to the pioneers of nutritional research in Croatia: to Professor Edvin Ferber, Professor Hubert Maver and Professor Ratko Buzina, to whom we owe exceptional contribution in the development of science of nutrition, as well as for many scientific publications from the fifties to the eighties in the 20th century, leaving us great information about nutritional state in Croatian population. The paper brings a review of nuitritional research in Croatia with an emphasis on history of research and papers published in Collegium Antropologicum. Since first publications on the subject, a number of institutions and scholars participated in numerous research projects which resulted in a vast number of published papers, depicting a multidisciplinary approach to the subject. In addition, the results of 44 analyses that have been a part of doctoral (18) and master's research (26) are discussed.     

The Medical Care of Older Patients

Proper medical care for growing numbers of older people depends upon application of advances in medicine to the special problems of ageing. Despite gaps in understanding of the ageing process, high-quality care can be achieved through routine use of knowledge already available.Older people differ structurally, functionally and psychologically. Health influences every aspect of their lives. Their reactions to stress and disease are altered. In practice, the doctor must assess the biological changes of ageing and their possible influences on symptoms and signs. Modifications in the application of ordinary methods of medicine and surgery are determined by functional impairments and structural defects. While the medical problems of the aged are special, the approach must be general; the practitioner needs experience with disease in all age groups and should be alert to the adverse effects on old people of the universal misunderstandings of ageing and its problems.     

指数富集配基的系统进化原理及应用进展

过去十几年,指数富集配基的系统进化（SELEX）技术得到了充分的发展,目前已经成为在数量众多的靶分子中,高亲和性和特异性地确定适配子的一种崭新的方法.SELEX的流程即是人工合成随机寡核苷酸序列、适配子筛选、扩增、再循环的过程.在这一过程中,适配子修饰基团文库的应用使得SELEX流程更加经济、快捷、高通量.回顾了SELEX的研究和应用,期待着这一方法能够在理论和实践上得到进一步的发展.     

Plants and geographical names in Croatia

The main purpose of this paper is to present some general observations, regularities and insights into a complex relationship between plants and people through symbolic systems like geographical names on the territory of Croatia. The basic sources of data for this research were maps from atlas of Croatia of the scale 1:100000. Five groups of maps or areas were selected in order to represent main Croatian phytogeographic regions. A selection of toponyms from each of the map was made in which the name for a plant in Croatian language was recognized (phytotoponyms). Results showed that of all plant names recognized in geographical names the most represented are trees, and among them birch and oak the most. Furthermore, an attempt was made to explain the presence of the most represented plant species in the phytotoponyms in the light of general phytogeographical and sociocultural differences and similarities of comparing areas. The findings confirm an expectation that the genera of climazonal vegetation of particular area are the most represented among the phytotoponyms. Nevertheless, there are ample examples where representation of a plant name in the names of human environment can only be ascribed to ethno-linguistic and socio-cultural motives. Despite the reductionist character of applied methodology, this research also points out some advantages of this approach for ethnobotanic and ethnolinguistic studies of greater areas of human environment.     

Causal Bayesian network for tagging syntactical structure of Croatian sentences

Paper describes tagging syntactical structure of Croatian language sentences using causal Bayesian network. In the first part of the paper we describe Bayesian model for tagging sentences. Base on this idea, we will test our model on Croatian language sentences on Database of grammatical sentences of Croatian language (http://infoz.ffzg.hr / tepes /). This paper is result of our new research connected with the paper hidden Markov model for tagging of Croatian language texts for project Linguistic Analysis of The European languages and the paper Probability distribution on the parse trees for the project Annotated database and syntactic structure of Croatian languages.     

The Croatian model of university education for health professionals

In all European countries healthcare professions are regulated by law. In Croatia, the legally--regulated professions are: medicine, dentistry, pharmacy, nursing, physiotherapy and midwifery, as well as radiographers, occupational therapists and medical laboratory technicians. Current education of health professionals in Croatia is traditional, inadequate and poorly harmonized with current educational trends, as well as with requirements and directives of European Commission. This Croatian model for education of health professionals at university level follows the recommendations specified in Croatian Qualification Framework: (i) learning outcomes are competency-based; (ii) mobility of students and faculty is encouraged; (iii) the means of quality assurance are anticipated. The Croatian model of university education for health professionals will make sure that all procedures, specified in the European and Croatian Qualification Framework addressing recognizability of study programs, mobility, learning outcomes, quality assurance and reliability of required qualifications are successfully completed.     

DNA特殊二级结构及其应用进展

核酸在生命遗传过程中发挥着重要作用,其特殊的DNA二级结构不仅包含遗传信息,还可在体内发挥特定的生理功能、在体外被用作生物传感器的组成元件。目前,DNA特殊二级结构主要包括发卡(hairpin)、十字形(cruciform)、双螺旋(double helix)、三螺旋(triplex)、G-四联体(G-quadruplex)、G-三联体(G-triplex)和i-motif等。DNA特殊二级结构无论是在体外还是在体内均已被广泛研究,因此,基于已有的研究成果,概括总结了DNA特殊二级结构中G-quadruplex、G-triplex、i-motif的发展史、结构组成、特殊功能以及在生物传感、纳米材料、体内检测等方面的应用,最后剖析了目前在DNA特殊二级结构的研究中存在的问题与不足,并对其今后的研究方向做出了展望,以期为DNA特殊二级结构在生物传感、分子医学等领域的应用提供理论支持。     

Database of sentences of Croatian language

The aim of this paper is to investigate morphological and syntactical levels of sentences of Croatian Language. Morphological grammatical level is represented by 16 categories and 47 features with theirs value. Syntactical level is represented with constituent structure trees of sentences. Database has 1001 grammatical sentences of Croatian literature. Database of sentences is the result of theoretical research in computational linguistics. This study extends the analysis of the linguistic data in anthropology in Croatian. Access to database is through the Internet on the address: http://infoz.ffzg.hr/tepes.     

抗癌药物作用预测计算方法的研究现状与展望

对精准医疗即个体化医疗理念的探讨与实践是当下医学研究的热门课题,如果精准医疗的设想实现可为患者提供更加精确有效的治疗方案,而对癌症的研究是医学界尚未攻破且意义重大的研究课题,也是和精准医疗结合最密切的课题之一。应用生物信息学的计算方法可以通过分析患者的概况来为癌症患者的药物选择提供有效方案,从而提高癌症患者的生存率。通过参考多篇使用计算方法研究抗癌药物作用的研究成果,从数据源和网络分析、机器学习和深度学习等计算方法两个方面总结了当前的研究成果,并对该课题存在的问题与未来发展趋势做出了分析与展望。