I Margan | PubMed Health

According to the questionnaire in 28 hospitals for pulmonary diseases and tuberculosis in Croatia together with the series of data from the public health service the present state and future trend of the development of pneumonologic activity are analysed. The wide spectrum of medical institutions is presented-from the type of sanatorium to the highly qualified pulmonary institutions like clinic. Surplus of pulmonary beds is due to the great number of beds from former sanatoria dislocated from great urban centers. By reduction of beds according to the plans proposed the standard-setting of 0.4 beds has been agreed for pulmonary patients on the region of Croatia. The conception of the "acute" and "chronic" bed in pulmonology is explained. Recommendation of categorization of pulmonary institutions is given on the level of community, region and republic together with the suggestions of cadre policy and organisational normatives. The necessity of application of rationalisation and economics in health care as to the planning of beds is indicated. If one proposition is not accepted, the other would follow and always with restriction. Pneumology service should be its fundamental principles of integral medicine, priority and economics in health analyse the most optimal suggestion of its future evolutive development of pneumology and public health service on the whole.

Hospitals, Special↗

PubMedDate not supplied

[Amniotic fluid embolism in multiple pregnancy in the second trimester of gestation].

A rare case of amniotic fluid embolism in the 26-th week of pregnancy is presented. After the McDonald operation for the repair of the incompetent cervix, a premature rupture of the membranes occurred. After a five-day period of amniorrhea an elevation of the body temperature over 39 degrees C was observed, as well as respiratory distress, cyanosis, and coma. It ended with the patient's death. The pathomorphological finding demonstrated the amniotic fluid embolism of the lung and brain arterioles.

Adult↗