Croatian medical journal
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Croatian medical journal · Jun 2004
Comparative StudyEpidemiology of adult eye injuries in Split-Dalmatian county.
To determine the incidence of eye injuries, population groups at risk, circumstances and activities at the time of accident, causes, mechanism, type and severity of injury, therapeutic procedures, final outcome, and the incidence of blindness in patients over 18 years of age. ⋯ There was a high incidence of ocular trauma and consequent blindness in Split-Dalmatian County. For the prevention of serious eye injuries, health education and safety strategies should be applied both at home and place of work, where blinding injuries most often occur.
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Like any other area of academic medicine in Croatia, academic ophthalmology has always been limited by or has depended on the factors outside the profession itself: during the communist regime, it was mostly political and ideological correctness of academic ophthalmologists, and today during the social and economic transition, it is the lack of finances, planning, and sophisticated technology. The four university eye clinics, which are the pillars of academic ophthalmology in Croatia, provide health care to most difficult cases, educate students, residents, and specialists, and do research. ⋯ This ever growing imbalance between requirements imposed on academic ophthalmology today and its possibilities make it less and less attractive, especially in comparison with private practice. The possible solution lies in increasing the independence of ophthalmology from pharmaceutical industry and politics, especially in research and financial aspects.
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Academic medicine consists of three vocations: clinical care, research, and teaching. Many argue that academic medicine is undergoing a crisis. ⋯ The debate is to examine "the fundamental nature of academic medicine." The present editorial seeks to explore one problematic feature of academic medicine: the fact that it consists of three vocations. This problematic feature is fundamental to academic medicine.
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Croatian medical journal · Jun 2004
Prognostic factors in open eye injury managed with vitrectomy: retrospective study.
To evaluate surgery results and establish prognostic factors that predicted final functional (good or poor vision) and anatomic (final retinal detachment) outcome in open eye injury involving the posterior segment managed with pars plana vitrectomy. ⋯ Half of the eyes with a good final visual outcome in our study were successfully managed with pars plana vitrectomy for open eye injury after trauma. The classification system may become useful prognostic tool for visual outcome in posterior segment ocular injuries managed with vitrectomy. Relative afferent pupillary defect as a functional test is a good predictor for visual outcome.
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Croatian medical journal · Jun 2004
Academic medicine--experiences from Finland and suggestions for the future.
This article presents the basic facts about education, health care system, and academic medicine in Finland. The issue of the academic medicine in the world is discussed and Finnish models compared with those of the rest of the world. Possible solutions for the recovery of academic medicine, education, and research are proposed.