The establishment of orthopedics in Croatia : The role of Bozidar Spisic (1879-1957) and his professional networks.

Bozidar Spisic was a pioneer of Croatian orthopedics. In 1908 he founded the first private orthopedic clinic in the entire South Slav region. During the First World War he organized and headed the first orthopedic hospital for the rehabilitation and resocialization of wounded soldiers. In the interwar period, Spisic was tasked with establishing the orthopedic clinic within the auspices of the School of Medicine, University of Zagreb. This effort in shaping and developing orthopedics in Croatia would not have been possible without his participation in a wide network of internationally renowned orthopedists. After graduating from the University of Graz in 1904, Spisic spent the next 4 years specializing in orthopedics with Hans Spitzy, Arnold Wittek, Fritz Lange and, most importantly, Adolf Lorenz. In this paper, we have reconstructed the transfer of knowledge and experiences between these prominent Austrian and German orthopedists and Bozidar Spisic. We have paid special attention to the identification of those elements in Spisic's work that can be traced back to his mentor, teacher and lifelong colleague Adolf Lorenz, such as his treatment for congenital hip dislocation. We believe that the analysis of professional networks can shed additional light on the historiography of orthopedics, given that these influences did not manifest solely through the acquisition of specialized clinical knowledge but also through a profound influence on the core tenets of orthopedics as a discipline-its institutional organization and overall conservative approach.

"I would not wait for them to commit crime": Cesare Lombroso's criminal anthropology in Croatia.

Croatia is a Central European and Mediterranean country with a long maritime border with Italy. Throughout history, it was not only goods but also knowledge and medical practices that were exchanged over its borders. Following archival sources, individual informal networks, professional publications, daily newspapers, and public lectures, we aimed to present main channels by which Croatian intellectuals embraced Lombroso's criminal anthropology at the end of the 19th and the beginning of the 20th centuries. We illuminated the fact that the adoption of Cesare Lombroso's concepts stimulated the joint engagement and communication of medical and legal realms in Croatia. Our analysis exposed the traces of Lombroso's ideas within the reform of the penal code, thus influencing forensic psychiatric practice. We showed how those ideas were translated into policy, politically exploited, and pitched into discussions employing rhetorical techniques, which led to the stigmatization of certain groups of people, particularly patients suffering from epilepsy. Our results also showed that, contrary to other countries that formed Austria-Hungary, the discussions about Lombroso's criminology waned in Croatia after the First World War. We believe that our results can close the gap on this topic, adding the evidence about the spread and influence of Lombroso's concepts within Austria-Hungary in the analyzed period.

The most reliable guardian of your health: Controversies on the condom's acceptance in the 20th century.

The history of the condom, although repressed or bypassed throughout the centuries, represents an important part of our cultural history. An historical overview on how the condom was perceived by Croatian physicians and how the pharmaceutical industry advertised condoms in the first half of the 20th century is provided. The contributions on contraception in Croatian medical bulletins, as well as the advertisements published in our professional pharmaceutical journals established during the Interwar Period is discussed. Indeed, the condom was for the most part neglected either as a prophylactic or as a contraceptive among physicians and public health workers, despite epidemics of syphilis and the rise of socialized medicine. In conclusion, this paper is the first attempt to provide the history of condom in Croatia, discussing dominant attitudes toward contraception, prophylaxis of venereal diseases, the control of reproduction, and the ideologies about human sexuality.

'Images from our orthopaedic hospital': photography in the rehabilitation of disabled war veterans in Croatia during the First World War.

PURPOSE: To demonstrate that Spisic's photographs were used as a tool in representing the strategies and public health position of orthopaedics as an emerging medical specialty in Croatia in the period from 1915 to 1917. METHODS: Formal and contextual analysis of photographs included in the book How we help our invalids: Images from our orthopaedic hospital and courses for disabled people, which was published in 1917 by the founder of orthopaedics in Croatia Bozidar Spisic (1879-1957), as well as historical documents and articles. RESULTS: Spisic's 102 photographs cover all phases of the rehabilitation of disabled war veterans and depict them holistically and during typical everyday activities. CONCLUSION: Spisic's visualization of disabled veterans attempted to demonstrate the transformation and reactivation of disabled bodies, using them as a persuasive tool in the rehabilitation not only of individuals, but of the society as a whole.

Syphilis and Pharmaceutical Industry Marketing Between the Two World Wars in Croatia.

Between the two World Wars, the pharmaceutical industry strengthened its influence within the Croatian medical community. Due to the scarcity of professional biomedical journals in the Croatian language, larger pharmaceutical companies started to publish free promotional journals, magazines, and booklets which quickly became popular. They thus succeeded in creating a broad network of opinion leaders by recruiting physicians as authors, primarily writing on their experiences with application of certain drugs. As a paradigmatic social disease of the interwar period, syphilis stimulated the development of various marketing strategies used by the industry in these publications.

"For aging not passively endured, but actively experienced:" on Symposium on Gerontology from 1958.

The subjects of gerontology and geriatrics did not arouse stronger interest among Croatian scholars until the second half of the twentieth century. From 1952 to 1957, a number of Croatian medical experts gave lectures on gerontology at the Yugoslav Academy of Sciences and Arts. Based on these lectures, in 1958 the Academy published the first book on gerontology in Croatia under the title Symposium on Gerontology. Its editor was Franjo Kogoj, a dermatovenereologist and a Fellow of the Academy (1894-1983). In this article, we focused on the contents of Symposium, namely, on the discussions about geriatric terminology, theories of aging, epistemological issues in gerontology, as well as clinical experiences with older patients. We argue that Symposium marks the beginning of a synthetic and interdisciplinary approach to gerontology in Croatia.

"Imagine All the People:" Andrija Stampar's Ideology in The Context of Contemporary Public Health Initiatives

Recently, the World Health Organization launched its Universal Health Coverage initiative with the aim to improve access to quality health care on a global level, without causing financial hardship to the patients. In this paper, we will identify and analyze the ideological similarities between this influential initiative and the work of one of the founders of the WHO-Andrija Stampar (1888-1958)-whose social medicine was built of various normative, sociological and philosophical elements. Our aim is to demonstrate the crucial role of carefully erected and thought-out ideology for the success of public health programs.

'They accused me of strangling her': epilepsy and violence debate in Croatia at the end of the nineteenth and the beginning of the twentieth centuries.

Nineteenth-century psychiatry shifted its focus to the brain as the seat of mental disorders. With a new understanding of mental disorders arose the need to consult forensic psychiatrists in cases of criminal acts committed by persons with mental illness. This article focuses on three murders committed by 'epileptics' at the end of the nineteenth and the beginning of the twentieth centuries in Croatia. An analysis of these cases will help to situate forensic psychiatry at the turn of the century within the Austro-Hungarian Empire, and reveal the authority that forensic experts wielded in the courts. We will argue that Cesare Lombroso's biological theory of crime, as well as the influence of eugenicists and pharmaceutical companies, shaped the long-standing relationship between epilepsy and violent behaviour.

The Substance of De Spiritu.

The aim of this paper is to depict the anatomical and physiological doctrines of the treatise entitled Περι πνευµατος, or De spiritu. By closely examining the contents of the treatise on its own accord, rather than through its Aristotelian or Hellenistic contexts, we attempt to overcome the aporetic and often disconnected style of the author, and to present a coherent picture of his doctrine of pneuma, its roles in the body, the anatomical structures in which it acts, and its relation to the soul. We argue that the author envisions three main systems in the body: arteriai, by which external air is taken in, turned into pneuma and distributed to different parts of the body; phlebes, by which blood is produced and distributed; bones and neura, which support the body and effect locomotion. Pneuma is shown to run through the system of arteriai, whereby it performs vital activities such as thermoregulation, digestion and pulsation. It is also engaged in activities such as perception and locomotion, in the form of the "connate pneuma," which, we propose, is a component of bodily parts. The author connects pneuma very closely with soul, and although he is familiar with Aristotle's doctrine of the soul, he does not see to embrace it.

Eros or Ethnos: Pioneering statistical survey on prostitution at the beginning of the 20th century.

The earliest serious investigation into prostitution in Croatia was a survey conducted in 1907 by the physician Fran Gundrum. His study was an attempt at a comprehensive exploration of prostitution, which tried to reconstruct demographic, anthropologic, and sociologic features of prostitutes. I present an analysis of his study and argue that Gundrum consistently found himself vacillating between blaming society and charging the nature of women to explain the existence of prostitution. This ambivalence was a result of embracing both the power of Enlightenment, which believed that human morality could be improved by the process of learning, and the notion of hereditary degeneration, which regarded human improvement by reeducation as futile. Heavily influenced by his Catholic upbringing and political conservatism, Gundrum married the "scientific" notion of innate prostitution with a pervasive view of women as flirtatious and materialistic. His survey reveals the typical personality of the period, a scientific enthusiast advocating the medical control of the population and the use of statistics in realizing that goal. It was, essentially, an attempt to construct and verify widespread attitudes toward public health as a method of monitoring venereal diseases and social control in general.

[Anthropology of the individual, sex, and race in the works of Fran Gundrum Oriovcanin (1856-1919)]. / Antropologija jedinke, spolnosti i rase u djelima Frana Gundruma Oriovcanina (1856. - 1919.).

By analysing his unpublished and published works, we have identified anthropological elements in the studies of Croatian physician Fran Gundrum Oriovcanin (1856-1919) that distinguish him as one of the rare researchers in Croatia who attempted to synthesize cultural and biological anthropology. Gundrum collected comparative data on biological characteristics of various ethnic groups, searched for a connection between biological structures and cultural development, and assessed certain social facts and customs from the perspective of medical teleology. This article presents the four most frequent anthropological issues raised in his work: anatomy and physiology of individuals, ethnic groups and "races"; attitudes on prostitution; Jews as a model of alcohol abstinence; and the "degeneration" of Western culture/civilisation. In spite of pronounced linear evolutionism, his work compares social and medical practices between Western and non-Western nations.

"You must not rely upon the words that very kind and beautiful girls utter, because in that regard, no offence, they all - lie":venereal diseases as a motive of Fran Gundrum's (1856-1919) work on sexual hygiene.

Until the works of Fran Gundrum, there was no comprehensive analysis of sexuality in Croatia. In this article, we investigate the background of Gundrum's book Sexual Health Care, the first book on sexual hygiene in Croatia. We analyzed the motivational effect venereal diseases had on writing the book, as well as the metaphoric language he used to conceptualize them. Venereal diseases are presented in his work as a consequence of irresponsible sexual behavior, and are interpreted using the analogy of natural state of English political philosopher Thomas Hobbes. All aspects of his suggestions for suppression of venereal diseases were colored by giving priority to social over individual well-being. Tradition and modernity intermix in his work, shaping him as the pioneer of sexual hygiene on our territory in the times when questions about heredity and survival of the nation started to forcefully shape public health policies.

Prostitutes and criminals: beginnings of eugenics in Croatia in the works of Fran Gundrum from Oriovac (1856-1919).

Fran Gundrum (1856-1919) was a Croatian physician, encyclopedist, and an advocate of medical enlightenment and healthy lifestyle. In order to identify and analyze Gundrum's ideas about the problems of prostitution and criminality, we studied all of his books, booklets, and articles published between 1905 and 1914. We showed that Gundrum's theories of heredity, morality, and sexual hygiene incorporated many of the important discussions of his time, especially those related to the Darwinian paradigm. Gundrum's project of collecting statistics on prostitutes was the first such study published on the territory of today's Croatia. Although he rejected the notions of born prostitutes and born criminals, defended by Italian criminal anthropologist Cesare Lombroso, he still regarded eugenics as a convenient method of dealing with the ills of society. He believed that criminals were degenerate individuals representing a violent threat to the society and that it was legitimate to use radical means, such as sterilization and deportation, to deal with this problem. Organicistic view of the society prevented him from seeing the individual rights as important as that of the society to protect itself. Nevertheless, this view led to many humanistic ideas, such as the binomial illness/poverty in case of prostitution, which influenced many prominent works of social medicine movement.