<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd">
<ArticleSet>
  <Article>
    <Journal>
      <PublisherName>revista-medicina-scolara</PublisherName>
      <JournalTitle>The Journal of School and University Medicine</JournalTitle>
      <PISSN/>
      <EISSN/>
      <Volume-Issue>Volume 6 Issue 3</Volume-Issue>
      <PartNumber/>
      <IssueTopic>Multidisciplinary</IssueTopic>
      <IssueLanguage>English</IssueLanguage>
      <Season>July - September 2019</Season>
      <SpecialIssue>N</SpecialIssue>
      <SupplementaryIssue>N</SupplementaryIssue>
      <IssueOA>Y</IssueOA>
      <PubDate>
        <Year>2019</Year>
        <Month>07</Month>
        <Day>25</Day>
      </PubDate>
      <ArticleType>Medical</ArticleType>
      <ArticleTitle>THE ROLE OF THE SCHOOL MEDICAL OFFICE</ArticleTitle>
      <SubTitle/>
      <ArticleLanguage>English</ArticleLanguage>
      <ArticleOA>Y</ArticleOA>
      <FirstPage>27</FirstPage>
      <LastPage>34</LastPage>
      <AuthorList>
        <Author>
          <FirstName>Dr. Daniela</FirstName>
          <LastName>Rajka</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>N</CorrespondingAuthor>
          <ORCID/>
        </Author>
      </AuthorList>
      <DOI/>
      <Abstract>INTRODUCTION: Health care provided in  educational establishments has a prophylactic com ponent, at both individual and community level, as  well as a curative component, at an individual level,  through the examinations in acute conditions and fi rst  aid in emergencies. &#13;
&#13;
OBJECTIVES: The study aims to highlight the  role that the medical offi ce from educational estab lishments has in supervising the health of children and  young people. &#13;
&#13;
MATERIALS AND METHOD: The school  medical offi ce we analyzed is responsible for 91 pre schoolers and 2113 students that attend a kindergar ten with extended program and 3 theoretical lyceums,  each with grades ranging from the preparatory class  up to the XIIth grade. &#13;
&#13;
The study is retrospective, we analyzed the  activity of the school’s medical offi ce over the last 5  years, starting with the school year 2014/2015, to date. &#13;
&#13;
Certain aspects were followed: health check  exams, acute illness incidence, chronic disease prev alence, epidemiological triage, food surveys, controls  in educational settings, and health promotion actions. &#13;
&#13;
RESULTS AND DISCUSSIONS: The school  medical offi ce provides medical care for 92 pre schoolers and 2091 students, on average. &#13;
&#13;
In the fi ve school years we analyzed on average  24 preschoolers (26.08% of total) and 598 students  (28,6% of total) had a yearly health check exam. &#13;
&#13;
In the epidemiological triage, done after all 4-5  school holidays, an average of 7844 students were ex amined each year, with an average of 62 new disease  cases identifi ed. The most frequent diseases identifi ed  during the epidemiological triage were acute respira tory infections, acute tonsillitis and pediculosis. &#13;
&#13;
An average of 1438 examinations were done  for acute illnesses / school year, and fi rst aid was  given in 222 accidents and traumas / school year. &#13;
&#13;
The total prevalence of chronic diseases in the  school medical offi ce is on average 45.42%. The most  frequent are the refraction errors (18.21%), followed  by spinal disorders due to bad posture (8.45%), obe &#13;
&#13;
sity (5.96%), asthma (3%), cardiovascular diseases  (2.52%) and underweight (2.22%). &#13;
&#13;
The food survey was conducted 3 times a year,  the conditions of hygiene in the school, the canteen  and in the accommodation areas were controlled, and  health promotion actions were carried out. &#13;
&#13;
CONCLUSIONS: The school’s medical offi ce  is of particular importance in overseeing the health of  a community. The scope of activity is very wide and  the responsibilities are high.</Abstract>
      <AbstractLanguage>English</AbstractLanguage>
      <Keywords>medical office, school, chil dren’s health</Keywords>
      <URLs>
        <Abstract>https://revista-medicina-scolara.ro/ubijournal-v1copy/journals/abstract.php?article_id=9268&amp;title=THE ROLE OF THE SCHOOL MEDICAL OFFICE</Abstract>
      </URLs>
      <References>
        <ReferencesarticleTitle>References</ReferencesarticleTitle>
        <ReferencesfirstPage>16</ReferencesfirstPage>
        <ReferenceslastPage>19</ReferenceslastPage>
        <References>1. Bellon M. Le mand;eacute;decin scolaire au service de l’en fant et de son bien-and;ecirc;tre psychique and;agrave; l’and;eacute;cole. Enfances and; Psy  2011;3(52):175-179. &#13;
&#13;
2. Ordinul MS/MEN nr. 5298/1668/2011, pentru apro barea Metodologiei privind examinarea st?rii de s?n?tate a pre?co larilor ?i elevilor din unit??ile de and;icirc;nv???mand;acirc;nt de stat ?i particulare  autorizate/acreditate, privind acordarea asisten?ei medicale gratu ite ?i pentru promovarea unui stil de via?? s?n?tos &#13;
&#13;
3.Sintez? SMCCT. Supravegherea epidemiologic? and;icirc;n colectivit??ile de copii. Journal of School and University Medi cine 2015;2(4):54-55. &#13;
&#13;
4. Rajka D. Assisting emergencies in school’s medical cab inet. Journal of School and University Medicine 2017;4(11):13-19 5.Magalnick H, Mazyck D. American Academy of Pedi atrics, Council on School Health. Role of the school nurse in pro &#13;
&#13;
viding school health services. Pediatrics 2008;121(5):1052-1056;  DOI: 10.1542/peds.2008-0382. &#13;
&#13;
6. INSP, Centrul Na?ional de Evaluare ?i Promovare a St?rii  de S?n?tate. Evaluarea morbidit??ii cronice prin dispensarizare in  &#13;
&#13;
colectivit??ile de copii ?i tineri. Raport na?ional 2018. http://insp. gov.ro/sites/cnepss/wp-content/uploads/2014/12/Sinteza-Dispen sarizare-2019.pdf, accesat and;icirc;n 19.07.2019 &#13;
&#13;
7. DSP Cluj. Raport de activitate 2018. http://www.dspc luj.ro/HTML/rapactDSP/DSP%20Cluj_Raport%20de%20activi tate%20pe%20anul%202018_vs4.pdf, accesat and;icirc;n 19.07.2019 &#13;
&#13;
8. Nistor MA, Pop MC. Tackling Faulty Posture in  Cluj-Napoca s Secondary School Children – A Local Policy  Proposal. Journal of School and University Medicine 2017;4(1):  31-39. &#13;
&#13;
9. Nicolescu R. COSI – WHO European Childhood Obe sity Surveillance Initiative. Journal of School and University  Medicine 2017;4(11):47-53. &#13;
&#13;
10. Hadma? RM, Neghirl? A, Martin ?A. Evolution of  kindergartens` food plan, with and without dietetic intervention.  Journal of School and University Medicine 2018;5(1): 16-21. &#13;
&#13;
11. Ordinul MS nr 1955/1995 pentru aprobarea Normelor  de igiena privind unit??ile pentru ocrotirea, educarea ?i instruirea  copiilor ?i tinerilor &#13;
&#13;
12. Vl?du?iu C, Sevan S, Teodosescu O, Ursu RM. Prac tical concepts on the measurement of visual activity within the  EUSCREEN, European project of early detection of vision and  hearing impairment in children. Journal of School and University  Medicine 2018;5(1):22-29.</References>
      </References>
    </Journal>
  </Article>
</ArticleSet>