The document discusses cooperation between southeast Europe, specifically a partnership between Hamburg and Belgrade for medical education and training exchanges. Key points:
- Students and doctors from Belgrade will travel to Hamburg, and vice versa, for 4-week clinical training programs.
- Belgrade will host summer schools in endocrinology and immunology, funded by European medical societies, attracting over 120 and 42 participants respectively.
- Establishing cooperation between medical institutions can help standardize medical education, improve quality of healthcare, and facilitate research collaboration and specialization training across countries.
The document discusses cooperation between southeast Europe, specifically a partnership between Hamburg and Belgrade for medical education and training exchanges. Key points:
- Students and doctors from Belgrade will travel to Hamburg, and vice versa, for 4-week clinical training programs.
- Belgrade will host summer schools in endocrinology and immunology, funded by European medical societies, attracting over 120 and 42 participants respectively.
- Establishing cooperation between medical institutions can help standardize medical education, improve quality of healthcare, and facilitate research collaboration and specialization training across countries.
This document discusses soft tissue tumors of the breast. It begins by stating that any soft tissue tumor can occur in the breast, but they are very rare compared to breast carcinoma. It then discusses both benign and malignant soft tissue tumors that can occur in the breast. For benign tumors, it mentions lipomas, angiomas, neurofibromas, and benign stromal spindle cell tumors. For malignant tumors, it mentions sarcomas, which make up less than 1% of breast malignancies. It discusses specific subtypes like liposarcomas, osteosarcomas, rhabdomyosarcomas, and malignant stromal spindle cell tumors. It provides histologic details and immunohistochemical profiles to
Craniofacial surgery Dr Milan KnezevicLKSedukacija
The document discusses cranial deformity that can occur when the bones of the skull fuse too early after birth. It provides statistics on 142 patients who underwent surgical procedures between 2001 and 2008 to correct cranial deformities. The majority of cases were for scaphocephaly, with other cases including trigonocephaly, various craniofacial syndromes, plagiocephaly, and multiple-suture synostosis. Complications included infections, hematomas, and tears during both primary and secondary surgical procedures. Most patient outcomes from the surgeries were considered good.
Lymphangiomyomatosis presentation dr. med. i. nenadicLKSedukacija
Lymphangioleiomyomatosis (LAM) is a rare lung disease that affects young women. It involves the abnormal growth of smooth muscle cells in the lungs and lymphatic vessels. A 34-year old female patient underwent a lung resection for suspected LAM. Histological examination revealed features consistent with LAM, including cystic lung destruction. LAM is often misdiagnosed and requires differentiation from other cystic lung diseases. While there is no effective treatment, mTOR inhibition shows promise in stabilizing lung function and symptoms in LAM patients.
Versatility of anterolateral thigh free flap n. rajacic mdLKSedukacija
This document discusses the versatility of the anterolateral thigh free flap for reconstruction. It notes the anterolateral thigh flap has advantages such as a long vascular pedicle, large donor area, possibility of thinning the flap, and minimal donor site morbidity. The document describes the vascular anatomy, preoperative requirements, types of flaps that can be created, and concludes the anterolateral thigh flap is extremely reliable for reconstructing various defects.
Presek stanja kreiran na osnovu dostupnih informacija i uz veliku pomoć i podršku pacijenata, udruženja pacijenata, njihovih saveza i organizacija civilnog društva koje se štiti od prava pacijenata u Srbiji.
Program 3P:
Prevention of chronic diseases.
Partnership of public, private, civil sector, patients and citizens in the local community.
Support for the patient and their family members.
This document discusses soft tissue tumors of the breast. It begins by stating that any soft tissue tumor can occur in the breast, but they are very rare compared to breast carcinoma. It then discusses both benign and malignant soft tissue tumors that can occur in the breast. For benign tumors, it mentions lipomas, angiomas, neurofibromas, and benign stromal spindle cell tumors. For malignant tumors, it mentions sarcomas, which make up less than 1% of breast malignancies. It discusses specific subtypes like liposarcomas, osteosarcomas, rhabdomyosarcomas, and malignant stromal spindle cell tumors. It provides histologic details and immunohistochemical profiles to
Craniofacial surgery Dr Milan KnezevicLKSedukacija
The document discusses cranial deformity that can occur when the bones of the skull fuse too early after birth. It provides statistics on 142 patients who underwent surgical procedures between 2001 and 2008 to correct cranial deformities. The majority of cases were for scaphocephaly, with other cases including trigonocephaly, various craniofacial syndromes, plagiocephaly, and multiple-suture synostosis. Complications included infections, hematomas, and tears during both primary and secondary surgical procedures. Most patient outcomes from the surgeries were considered good.
Lymphangiomyomatosis presentation dr. med. i. nenadicLKSedukacija
Lymphangioleiomyomatosis (LAM) is a rare lung disease that affects young women. It involves the abnormal growth of smooth muscle cells in the lungs and lymphatic vessels. A 34-year old female patient underwent a lung resection for suspected LAM. Histological examination revealed features consistent with LAM, including cystic lung destruction. LAM is often misdiagnosed and requires differentiation from other cystic lung diseases. While there is no effective treatment, mTOR inhibition shows promise in stabilizing lung function and symptoms in LAM patients.
Versatility of anterolateral thigh free flap n. rajacic mdLKSedukacija
This document discusses the versatility of the anterolateral thigh free flap for reconstruction. It notes the anterolateral thigh flap has advantages such as a long vascular pedicle, large donor area, possibility of thinning the flap, and minimal donor site morbidity. The document describes the vascular anatomy, preoperative requirements, types of flaps that can be created, and concludes the anterolateral thigh flap is extremely reliable for reconstructing various defects.
Presek stanja kreiran na osnovu dostupnih informacija i uz veliku pomoć i podršku pacijenata, udruženja pacijenata, njihovih saveza i organizacija civilnog društva koje se štiti od prava pacijenata u Srbiji.
Program 3P:
Prevention of chronic diseases.
Partnership of public, private, civil sector, patients and citizens in the local community.
Support for the patient and their family members.
Na 2. sednici Saveta za filantropiju, koji čine predstavnici državnih institucija i neprofitnih organizacija iz Koalicije za dobročinstvo, održanoj 7. marta 2019 donete su odluke o obrazovanju 3 Radne grupe i 1 Radnog tela. Njihovi zadaci će biti vezani za unapređenje zakonskog okvira za doniranje viška hrane, doniranje od strane pravnih lica i pojedinaca i definisanje kriterijuma za oslobađanje pojedinačnih donacija od PDV-a.
Hepatotoxicity fast food dr ludwig kramerLKSedukacija
This document discusses the potential hepatotoxic effects of fast food consumption. It begins by defining fast food and noting the industrialized nature of modern fast food production. It then discusses changes in dietary patterns in Western nations that have increased fast food consumption. Specifically, it notes that daily caloric intake has increased by 150-300 calories in industrialized countries over past decades, with around 50% of increased calories coming from sugar-sweetened beverages. The document raises concerns that fast food and sugar-sweetened beverages are positively associated with deleterious health effects due to their high carbohydrate content and the rapid absorption of these carbohydrates. It discusses the links between fast food/beverage consumption and non-alcoholic fatty liver
The document discusses soft tissue tumours in children, with a focus on rhabdomyosarcoma and molecular diagnostic techniques. It notes that soft tissue tumours in children are challenging to diagnose due to their rarity and morphological features. Molecular techniques such as fluorescence in situ hybridization and PCR have become important diagnostic and prognostic tools because many paediatric tumours have specific translocations and fusion genes. Rhabdomyosarcoma is the most common soft tissue sarcoma in children, and molecular analysis can distinguish between embryonal and alveolar subtypes, which have different prognoses. Immunohistochemistry is also useful but molecular analysis has provided more definitive diagnoses.
2. Opšti pojmovi i definicije
• Pojam “zdravstveni turizam” (medical
travel, health tourism, global healthcare)
uveden je najpre od strane turističkih
agencija i medija, sa ciljem opisivanja
brzorastuće prakse putovanja u
inostranstvo radi ostvarivanja zdravstvene
zaštite.
• Pojam se pežorativno koristi i za
označavanje zdravstvenih profesionalaca
koji putuju u inostranstvo radi pružanja
zdravstvenih usluga, a u Srbiji i za
manifestacije ovog tipa.
11/2/2011 copyright (your organization) 2003 2
3. Opšti pojmovi i definicije
• Spektar zdravstvenih usluga koje se pružaju
u okviru zdravstvenog turizma najčešće
podrazumeva različite elektivne procedure
i kompleksne hirurške zahvate poput
ugradnje zglobnih proteza, kardiohirurgije,
dentalne hirurgije, kozmetske hirurgije.
• MeĎutim, sve vrste zdravstvenih usluga
mogu biti predmet interesovanja korisnika
kada je reč o zdravstvenom turizmu,
uključujući psihijatriju, alternativne
metode, negu, pa čak i pogrebne usluge.
11/2/2011 copyright (your organization) 2003 3
4. Svetski trendovi
• Procenjuje se da je zdravstveni turizam grana u
okviru zdravstvene zaštite sa najbržim rastom,
vredna 40 milijardi dolara.
• Zdravstveni turizam omogućava kvalitetnu
zdravstvenu zaštitu koja je dostupna i priuštiva.
• Više od 50 država prepoznalo je zdravstveni turizam
kao industrijsku granu od nacionalnog značaja.
• MeĎutim, akreditacija i drugi parametri kvaliteta
variraju od države do države, te zdravstveni
turizam, u nekim slučajevima, može biti skopčan sa
rizikom ili čak opasnošću za zdravstvene turiste.
11/2/2011 copyright (your organization) 2003 4
5. Svetski trendovi
• MTA – Medical Tourism Association – prva
meĎunarodna neprofitna organizacija za
zdravstveni turizam i globalnu zdravstvenu
zaštitu, bazirana na članstvu, orijentisana
prema vrhunskim meĎunarodnim
bolnicama, zdravstvenim profesionalcima,
osiguravajućim kompanijama i drugim
članovima, sa ciljem promocije pružanja
zdravstvenih usluga najvišeg kvaliteta na
globalnom nivou.
• Od 25. do 28. oktobra 2011. godine u
Čikagu će biti održan 4. Svetski kongres
zdravstvenog turizma i globalne
zdravstvene zaštite.
11/2/2011 copyright (your organization) 2003 5
6. Svetski trendovi
• Implementacija zdravstvenog turizma podržana je
ne samo od strane velikog broja poslodavaca i
osiguravajućih kompanija, već i od vlada mnogih
zemalja, kako visoko razvijenih, tako i onih u
razvoju i nerazvijenih.
• Poslodavci i osiguravajuće kompanije promovišu
zdravstveni turizam u cilju obezbeĎivanja kvalitetne
zdravstvene zaštite svojim zaposlenima i klijentima
po nižim cenama, dok vlade, preko svojih
ministarstava turizma, zdravlja, za ekonomski
razvoj i drugih zainteresovanih strana, promovišu
svoje gradove, regione ili čitave države kao
destinacije za zdravstveni turizam.
11/2/2011 copyright (your organization) 2003 6
11. U Srbiji…
• ORL
• U privatnoj zdravstvenoj ustanovi
• Septoplastika….1,350 $
• Septoplastika i rinoplastika…5,100 $
• U opštoj bolnici iz plana mreže ZU
• Estetska korekcija nosa u totalnoj
anesteziji…255 $
11/2/2011 copyright (your organization) 2003 11
12. Zakonski okvir
• EU Directive on cross border
healthcare
• Evropski parlament je,
početkom godine, doneo pravni
akt kojim se definišu prava i
obaveze državljana iz država
članica na polju ostvarivanja
zdravstvene zaštite na teritoriji
svih država članica EU.
11/2/2011 copyright (your organization) 2003 12
13. Zakonski okvir
• The EU Provision of Services
Regulations – December, 2009.
• Reguliše:
• koje sve informacije korisnici
moraju dobiti od davalaca usluga
• Proces ulaganja žalbi i procedure
za njihovo razmatranje i
procesuiranje
• Kome se usluge mogu ponuditi ili
uskratiti
11/2/2011 copyright (your organization) 2003 13
14. Zakonski okvir
• Ovaj akt se ne odnosi na
direktne pružaoce zdravstvenih
usluga, ali se odnosi na sve
agente i posrednike u pružanju
zdravstvenih usluga
• Državama članicama se ostavlja
donošenje detaljne i specifične
regulative
11/2/2011 copyright (your organization) 2003 14
15. Stanje u Srbiji
• Sa jedne strane:
1. Potreba za redefinisanjem
postojeće i donošenjem dodatne
pravne regulative iz ove oblasti
2. Potreba za revizijom državne
politike i Strategije za razvoj
(zdravstvenog) turizma Srbije.
3. Markiranje zdravstvenog turizma
kao privredne grane od nacionalnog
interesa i odreĎivanje nosilaca
aktivnosti na promociji kapaciteta
za zdravstveni turizam
11/2/2011 copyright (your organization) 2003 15
16. Stanje u Srbiji
• Sa druge strane:
1. Veliki potencijal za razvoj zdravstvenog
turizma koji se ogleda u ljudskim,
prirodnim i materijalno-tehničkim
resursima
2. Solidan broj odlično opremljenih
zdravstvenih ustanova u privatnom
sektoru
3. Veliki broj ustanova iz plana mreže ZU
koje će morati da traže dodatne izvore
finansiranja
4. Više od 300 prirodnih izvora mineralne
vode, 39 banja i 25 rehabilitacionih
centara…
11/2/2011 copyright (your organization) 2003 16
17. Stanje u Srbiji
• Zakon o banjama iz 1992. odnosno
1993.godine
• Predlog novog zakona o banjama-
Udruženje banja Srbije i drugi
zainteresovani subjekti
• Revizija Strategije razvoja turizma
Srbije
• Zakon o turizmu ("Sl. glasnik RS", br.
36/2009 i 88/2010)
• Sistemski zakoni kojima se reguliše
zdravstvena zaštita i prateći propisi
11/2/2011 copyright (your organization) 2003 17
19. Preduslovi i specifičnosti
• Akreditacija zdravstvenih ustanova obezbeĎuje :
1. Obučene zdravstvene profesionalce koji su prošli
kroz adekvatne procese obrazovanja i obuke, kao
i kvalifikacione testove
2. Zadovoljavajuće objekte, opremu i resurse
3. Sposobnost koordinacije sa osiguravajućim
kompanijama i telima vlade
4. Zadovoljavajuću zaštitu u smislu kvaliteta
zdravstvenih usluga, pouzdanosti i bezbednosti
korisnika
5. Odgovarajući odnos broja doktora i medicinskih
sestara u odnosu na broj tretiranih korisnika
6. Profesionalni kadar koji podjednako tretira
korisnike bez obzira na pol, boju kože, kulturu,
religiju…
11/2/2011 copyright (your organization) 2003 19
20. Preduslovi i specifičnosti
• AMA – American Medical Association –
Vodiči za pacijente koji putuju u
inostranstvo radi zdravstvenih usluga
(ima ih 9).
• Obaveza je nacionalnih
profesionalnih lekarskih organizacija
da aktivno učestvuju u regulisanju
stručnih aktivnosti vezanih za
zdravstveni turizam, ali i da podstiču
meĎunarodnu saradnju na ovom
polju.
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21. Uloga Lekarske komore
Srbije
• Promocija stručnih kapaciteta
svojih članova u zemlji, Evropi i
drugim delovima sveta
• Saradnja se profesionalnim
asocijacijama lekara i lekarskim
komorama u inostranstvu u cilju
razvoja medicinskog turizma u
Srbiji
11/2/2011 copyright (your organization) 2003 21
22. Srbija na mapi
zdravstvenog turizma
Evrope
HVALA NA PAŽNJI !
11/2/2011 copyright (your organization) 2003 22
23. Uloga Lekarske komore
Srbije
• Uključivanje srpske medicinske
dijaspore u pomenute aktivnosti
• Povezivanje potencijalnih
pružalaca usluga sa
zainteresovanim korisnicima
• Saradnja sa vladinim i
nevladinim sektorom i
formiranje mreže svih
zainteresovanih strana
11/2/2011 copyright (your organization) 2003 23