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[The first isolation of Borrelia burgdorferi in Apodemus flavicollis in Yugoslavia].

Small rodent species, as well as their ectoparasitic fauna, and the presence of Borrelia burgdorferi in their blood and internal organs (liver and spleen) was investigated, at two locations (Kosutnjak, Lipovicka suma) in Belgrade. Animals were caught between September 15-17, 1992. On location Kosutnjak two Apodemus flavicollis were trapped and Borrelia burgdorferi was isolated from the spleen of one of them. On location Lipovicka suma 13 rodents were trapped as follows: 10 Apodemus flavicollis, 2 Apodemus agrarius and one Mus musculus. In these the presence of Borrelia burgdorferi was not determined. Ectoparasits Ixodes ricinus, Nesopyllus fasciatus and Haemogamasus spp. have been found. The location Kosutnjak can be considered as an active focus of lyme borreliosis.

Animals↗

Denmark's education project for nurse refugees from ex-Yugoslavia.

With the phenomenal rise in displaced persons and refugees, ICN has been encouraging its member associations to join up with international and local agencies to answer their health and social needs, with particular emphasis on assisting nurse refugees with their problems both as refugees and as nurses. An example of how one member responded to the call is outlined below.

Curriculum↗

Case-control study of pancreatic cancer in Serbia, Yugoslavia.

Case-control study comprised 100 pancreatic cancer patients and the same number of hospital controls individually matched with cases by sex, age and place of residence. According to logistic regression analysis following factors were found to be risk factors for pancreatic cancer: smoking 26 or more cigarettes per day (OR = 43.95, 95% CI = 7.69-192.53), consumption of 5 or more glasses of hard drinks per week (OR = 12.84, 95% CI = 2.13-77.29), coffee consumption during a period exceeding 35 years (OR = 2.50, 95% CI = 1.18-5.28), gall bladder disease in personal history (OR = 4.29, 95% CI = 1.08-16.99) and family history positive on peptic ulcer (OR = 11.71, 95% CI = 0.99-137.98). Two factors appeared to be protective for cancer of pancreas: appendectomy (OR = 0.22, 95% CI = 0.07-0.68) and blood type 0, Rh+ (OR = 0.25, 95% CI = 0.09-0.61).

Adult↗

Mental health under war conditions during the 1991-1995 war in the former Yugoslavia.

If this war were a "peace time disaster" it is estimated that more than one million people would be in need of assistance due to mental health issues. The estimated helping capacity, however, can cover only a small proportion of the need. This imbalance may create a severe threat to the mental health of the war-torn population in a medium- and long-term perspective. Complications related to war-trauma-induced stress disorders may give rise to significant increases in alcohol and drug abuse, domestic and criminal violence, suicides, homicides and chronic mental illness. This article outlines the international efforts to include psychosocial and mental health interventions as part of the emergency assistance programme. Special emphasis is directed at the development of the new WHO Regional Model on Mental Health. The model is a coordinated set of mental health activities for a defined geographical area with a population of 300,000-400,000 inhabitants. The key elements are: coordination, collection of background data ("war-time epidemiology"), capacity building and self-empowerment of local professionals at all levels, as well as a community-oriented approach to mental health care and primary health care. A new structure to achieve sustainability and continuity of preventive mental health interventions, the European University Centre for Mental Health and Human Rights, is proposed for the medium- and long-term perspective of assistance.

Child↗

Operational stress control in the former Yugoslavia: a joint endeavor.

The military has developed specialized mental health teams to evaluate and treat soldiers diagnosed with stress reactions and neuropsychiatric disorders. The response of these mental health teams in support of the year-long peace enforcement mission to Bosnia-Herzegovina is reviewed. Demographics and operational stressors are examined. Stress control doctrine is tested and revised. Credibility with leaders, chaplains, and medical personnel is achieved through rapid response to serious injury or fatality. Emphasis is placed on successful marketing strategies, stress management and suicide prevention classes, prompt access to care, and decreasing the stigma of mental health through education. Coordination of mental health assets promotes synergy and mission accomplishment.

Humans↗

Selenium research in Serbia, Yugoslavia.

Data on selenium (Se) deficiency in Serbia are presented following 10 years of research. We studied the Se content in ores, stream sediment, soil, cereal crops, and garlic grown in these soils, food, and human serum and hair from 55 communities. Most of the results indicated a serious Se deficiency. In some communities, the Se content of grain, garlic, and human serum and hair approached that of the low-Se belt in China. We assume that an extremely low Se level in the human population could be a risk factor for the development of Balkan nephropathy (BN) and for the very high incidence of urinary tract tumors (UTT) in endemic areas, as well as high mortality rates of malignant diseases. On the other hand, some regions with relatively higher serum Se levels had significantly lower mortality rates of cancer and cardiovascular diseases.

Diet↗

[Clinical picture and treatment of venomous snake bites in Yugoslavia].

Snakes of the Balkan peninsula represent an important part of the fauna of this part of Europe. Due to its biochemical complexity, snake venom cannot be compared with venoms of any other venomous animals. The primary effect of venoms of snakes of this region (Viperina) is local (myonecrosis and hemorrhage) and hemotoxic. Following the bite local signs occur very soon: pain, edema, erythema, signs of hemolysis as well as systemic: nausea, vomiting, hemorrhages in vital organs, sweating, prostration. Systemic manifestations following viperine bite, edema and hemorrhagic complications mostly disappear within a week, while coagulation disorders may persist for two or three weeks. The management of snake bites starts with application of a specific antitoxin, in our country being produced at the Institute of Immunology and Virology TORLAK in Belgrade.

Humans↗