University of Zagreb Repository
Not a member yet
127122 research outputs found
Sort by
Methodical approach to students with intellectual disabilities in geography teaching
No full textSvako dijete, pa tako i dijete s intelektualnim teškoćama ima zakonsko pravo obrazovanja. Ova skupina djece najčešće se javlja u osnovnim školama, no ovisno o njihovim sposobnostima, mogu doseći i srednjoškolsko obrazovanje. Stoga je potrebno prilagoditi metodički pristup tijekom njihovog obrazovanja. Cilj obrazovanja je osposobiti dijete za život, u skladu sa njegovim mogućnostima i sposobnostima. Ovaj cilj ostvaruje se i na nastavi geografije. Rad predstavlja kombinaciju proučavanja stručne literature te empirijskog rada. Na početku rada dana je definicija intelektualnih teškoća te njihova klasifikacija. Istražena je osposobljenost nastavnika geografije za rad s učenicima s intelektualnim teškoćama te sposobnosti koje učenici mogu dosegnuti. Na kraju rada predložene su metode poučavanja učenika s ovim oblikom teškoća.Every child, including a child with intellectual disabilities, has a legal right to education. This group of children most often appears in primary schools, but depending on their abilities, they may also achieve secondary education. Therefore, it is necessary to adapt the methodical approach during their education. The goal of education is to prepare the child for life, in accordance with their possibilities and abilities. This goal is also pursued in geography lessons. The paper represents a combination of examining professional literature and conducting empirical work. At the beginning of the paper, a definition of intellectual disabilities and their classification is given. The preparedness of geography teachers to work with students with intellectual disabilities was explored, as well as the abilities these students can achieve. At the end of the paper, teaching methods for students with this form of difficulty are proposed
Pathographies of the greats presented through psychodynamic analysis of historical figures
No full textPsihodinamskom analizom moguće je razmatrati unutarnja psihička zbivanja koja izazivaju pojavu narcističkih karakteristika u određenih ličnosti. Prema Kohutu i Kernbergu, veliku ulogu u formiranju narcističnog poremećaja ličnosti, ima rani odnos roditelja s djecom, često kroz manjak ili nedostatak emocionalnih interakcija. Iako je zdravo priznanje djetetovih uspjeha ključno u izgradnji samopouzdanja, pretjerano vrednovanje također ima utjecaj na nastanak narcizma. Obrambene reakcije kao kompenzacije podležeće unutarnje ranjivosti rezultiraju nastankom neke od dimenzija narcizma; grandiozne, ranjive ili maligne. Narcističke osobine u životima povijesnih ličnosti mogu svoje uzroke pronaći u najranijim odnosima, a posljedice su vidljive u političkim, vojnim i društvenim odlukama koje su utjecale na preoblikovanje brojnih ljudskih sudbina i povijesti.Through psychodynamic analysis, it is possible to examine the internal psychological processes that lead to the emergence of narcissistic traits in certain individuals. According to Kohut and Kernberg, early parent-child relationships play a significant role in the development of narcissistic personality disorder, often through a lack or absence of emotional interaction. While healthy recognition of a child’s achievements is crucial in building self-confidence, excessive praise can also contribute to the development of narcissism. Defensive reactions, as compensations for underlying inner vulnerability, result in the formation of certain dimensions of narcissism: grandiose, vulnerable, or malignant. Narcissistic traits in the lives of historical figures may find their origins in early relationships, and their consequences are evident in political, military, and social decisions that have shaped countless human destinies and the course of history
Determinants of the online purchase intention of cosmetic products
No full textU kontekstu sve snažnijeg razvoja digitalnih tehnologija i porasta popularnosti internetske kupovine, ponašanje potrošača u online okruženju postaje sve značajnije područje istraživanja unutar suvremenog marketinga. Poseban interes u radu usmjeren je na analizu čimbenika koji utječu na lojalnost i namjeru kupovine kozmetičkih proizvoda putem interneta. Stoga je predmet diplomskog rada namjera kupovine kozmetičkih proizvoda putem interneta. Konkretnije, cilj rada je bio otkriti kakvu ulogu kod namjere kupovine imaju čimbenici: 1. hedonistička motivacija, 2. online cijene, 3. pristup informacijama, 4. povjerenje u online kupovinu i 5. lojalnost. Navedeno je bilo potrebno istražiti zbog manjka prethodnih istraživanja na hrvatskom tržištu.
Empirijsko istraživanje provedeno je korištenjem strukturiranog anketnog upitnika na prigodnom uzorku od 165 ispitanika koji imaju prethodno iskustvo online kupovine kozmetičkih proizvoda. Podaci su obrađeni korištenjem deskriptivne statistike, te regresijskom analizom. Rezultatima je utvrđeno da emocionalni i hedonistički čimbenici imaju ključnu ulogu u oblikovanju lojalnosti i namjere kupovine. Hedonistička motivacija pokazala se kao najsnažniji prediktor lojalnosti, što potvrđuje važnost emocionalnog užitka i osobnog zadovoljstva u procesu donošenja odluke o kupovini kozmetičkih proizvoda. Uz to, varijable povjerenje u online kupovinu i pristup informacijama također su imale snažan i statistički značajan utjecaj na zavisnu varijablu. Ovi nalazi sugeriraju da korisnici očekuju sigurno, transparentno i informacijski bogato online okruženje koje im omogućuje kontrolu i sigurnost tijekom cijelog procesa kupovine.In the context of the increasingly strong development of digital technologies and the growing popularity of online shopping, consumer behavior in the online environment is becoming an increasingly important area of research within modern marketing. A special interest in the work is focused on the analysis of factors that influence loyalty and intention to purchase cosmetic products online. Therefore, the subject of the thesis is the intention to purchase cosmetic products online. More specifically, the aim of the work was to discover what role the following factors play in the purchase intention: 1. hedonic motivation, 2. online prices, 3. access to information, 4. trust in online shopping and 5. loyalty. The above was necessary to investigate due to the lack of previous research on the Croatian market. The empirical research was conducted using a structured questionnaire on a convenient sample of 165 respondents with previous experience purchasing cosmetic products online. The data were processed using descriptive statistics and regression analysis. The results determined that emotional and hedonic factors are key in shaping loyalty and purchase intention. Hedonic motivation was found to be the strongest predictor of loyalty, confirming the importance of emotional pleasure and personal satisfaction in the decision-making process for purchasing cosmetics. In addition, the variables trust in online shopping and access to information also had a strong and statistically significant impact on the dependent variable. These findings suggest that consumers expect a safe, transparent and information-rich online environment that allows them control and security throughout the entire shopping process. The limitations of the study are related to the size and type of sample, the purposive convenience sample of respondents, and the method of data analysi
Fertility preservation in the treatment of endometrial cancer
No full textKarcinom endometrija najčešći je zloćudni tumor ženskog spolnog sustava te četvrti najčešći kod žena u razvijenom dijelu svijeta, nakon karcinoma dojke, debelog crijeva i pluća. Njegov je najčešći histološki podtip endometrioidni karcinom endometrija. U pravilu se češće javlja u perimenopauzalnoj i postmenopauzalnoj dobi, a rjeđe i kod žena mlađih od 40 godina. Zbog povećane prevalencije rizičnih čimbenika poput pretilosti i dijabetesa, anovulacijskih stanja, smanjene upotrebe hormonske terapije tijekom menopauze te veće prevalencije nulipara, incidencija karcinoma endometrija raste. Mnoge žene u reproduktivnoj dobi žele liječenjem očuvati svoj reproduktivni potencijal te ostvariti trudnoću, zbog čega standardni postupak totalne histerektomije s bilateralnom salpingo-ooferektomijom za njih nije najsretnija metoda. U takvim se slučajevima, kod žena s endometrioidnim karcinom endometrija u reproduktivnoj dobi sa zadovoljenim određenim kriterijima, razmatraju alternativne metode liječenja kojima bi se moglo produžiti reproduktivno razdoblje kako bi pacijentica mogla zatrudnjet i roditi. Najčešće korištena vrsta terapije je sintetskim progesteronima, progestinima, koji se primjenjuju oralno ili u obliku intrauterinog uloška. Ostale se metode poput histeroskopske resekcije, primjene metformina, gonadotropin-oslobađajućeg hormon agonista, inhibitora aromataze, ciljane molekularne terapije te imunoterapije istražuju ili selektivno primjenjuju u rijetkim slučajevima. Nakon tri mjeseca od početka terapije, preporučeno je histološkom analizom provjeriti odgovor na terapiju te nakon dvije negativne biopsije savjetovati pacijentici da što prije zatrudni. Medicinski potpomognuta oplodnja odličan je izbor kod takvih žena kojima je bitno što prije začeti i iznijeti trudnoću kako bi što ranije mogle biti operirane jer se preporučuje, uzevši u obzir visoku stopu povratka bolesti, nakon poroda, učiniti totalnu histerektomiju s bilateralnom salpingo-ooferektomijom.Endometrial cancer is the most common malignant tumor of the female reproductive system and the fourth most common cancer among women in developed countries, following breast, colorectal, and lung cancers. Its most frequent histological subtype is endometrioid endometrial carcinoma. It typically occurs in perimenopausal and postmenopausal women but can also appear, though less commonly, in women under the age of 40. Due to the increasing prevalence of risk factors such as obesity, diabetes, anovulatory conditions, reduced use of hormone replacement therapy during menopause, and a higher proportion of nulliparous women, the incidence of endometrial cancer is rising. Many women of reproductive age wish to preserve their fertility and achieve pregnancy, making the standard treatment of total hysterectomy with bilateral salpingo-oophorectomy less favorable for this population. In such cases, for women of reproductive age with endometrioid endometrial carcinoma who meet specific criteria, alternative treatment methods are considered in order to prolong the reproductive window, allowing the patient to conceive and give birth. The most commonly used treatment involves synthetic progesterones, or progestins, administered either orally or via an intrauterine device (IUD). Other methods, such as hysteroscopic resection, the use of metformin, gonadotropin releasing hormone (GnRH) agonists, aromatase inhibitors, targeted molecular therapy, and immunotherapy, are currently under investigation or selectively used in rare cases. After three months of therapy, a histological evaluation is recommended to assess the treatment response. If two consecutive biopsies show no signs of malignancy, the patient is advised to conceive as soon as possible. Assisted reproductive technologies are an excellent option for these women, as achieving pregnancy quickly allows for earlier surgical intervention. Given the high recurrence rate of the disease, it is recommended that after childbirth, total hysterectomy with bilateral salpingo-oophorectomy be performed
Red blood cell distribution width (RDW) as a predictor of thrombotic events in patients with myelofibrosis
No full textKronične mijeloproliferativne neoplazme (MPN) skupina su bolesti koje nastaju zbog hiperprodukcije i nakupljanja stanica jedne ili više mijeloidnih loza. Među njima se izdvajaju Philadelphia negativne MPN: policitemija vera, esencijalna trombocitemija i primarna mijelofibroza. Glavne mutacije koje nalazimo u bolesnika s Philadelphia negativnim MPN su u JAK2, CALR i MPL genima. U bolesnika s mijelofibrozom dominira rizik smrti uslijed progresije bolesti, međutim u njih postoji i visok trombotski rizik. Bolesnici s mijelofibrozom također karkateristično imaju vrlo visoke vrijednosti širine distribucije eritrocita (RDW), laboratorijskog parametra koji kvantificira anizocitozu i za koji je poznato kako je povezan s povećanim trombotskim rizikom u općoj populaciji. Hipoteza ovog istraživanja bila je kako bolesnici s mijelofibrozom i izraženijom anizocitozom mjereno kroz RDW imaju veću sklonost trombotskim incidentima.
Retrospektivno smo analizirali kohortu od 144 bolesnika s primarnom ili sekundarnom mijelofibrozom koji su dijagnosticirani ili praćeni u Kliničkoj bolnici Dubrava u periodu od 2004. do 2024. godine. Analizirali smo vrijednosti RDW prilikom dijagnoze, povezanost s kliničkim karakteristikama i s trombotskim rizikom u praćenju.
Prilikom dijagnoze bolesnici s mijelofibrozom imali su medijan vrijednosti RDW-a 19.3%. Vrijednosti RDW-a u u prosjeku nisu pokazivale statistički značajnu dinamiku tijekom vremena, te korištenje pojedinih citoreduktivnih lijekova nije značajno utjecalo na promjenu RDW tijekom vremena. Viši RDW bio je statistički značajno povezan sa ženskim spolom, odsustvom mutacija CALR gena, višim stupnjem fibroze koštane srži, anemijom i trombocitopenijom, prisutnošću konstitucijskim simptoma, ovisnošću o transfuziji eritrocita, većom palpatornom većinom slezene, višim DIPSS skorom rizika za smrt i višim Charlsonovim indeksom komorbiditeta.
Više vrijednosti RDW bile su povezane s povećanim trombotskim rizikom za tromboze općenito (18% većim rizikom sa svaki postotni bod porasta vrijednosti RDW) i za pojavu venskih tromboza. Porast RDW-a tijekom 6 mjeseci bio je povezan s povećanim rizikom od arterijske tromboze.
Ovo istraživanje pokazuje ulogu RDW-a kao široko dostupnog i jeftinog prognostičkog alata za predviđanje trombotskih incidenata u bolesnika s mijelofibrozom, a rezultate je potrebno validirati na većem uzorku i u prospektivnim uvjetima istraživanja.Chronic myeloproliferative neoplasms (MPN) are a group of neoplastic diseases caused by the hyperproduction and accumulation of cells from one or more myeloid lineages. Among these, Philadelphia-negative MPNs include polycythemia vera, essential thrombocythemia, and primary myelofibrosis. The main mutations found in patients with Philadelphia-negative MPNs are in the JAK2, CALR, and MPL genes. In patients with myelofibrosis, the risk of death due to disease progression is dominant, but these patients also have a high thrombotic risk. Patients with myelofibrosis also characteristically have very high values of red cell distribution width (RDW), a laboratory parameter that quantifies anisocytosis and is known to be associated with an increased thrombotic risk in the general population. The hypothesis of this study was that patients with myelofibrosis and more pronounced anisocytosis, as measured by RDW, have a greater tendency toward thrombotic incidents.
We retrospectively analyzed a cohort of 144 patients with primary or secondary myelofibrosis who were diagnosed or followed at University Hospital Dubrava in the period from 2004 to 2024. We analyzed RDW values at diagnosis, their association with clinical characteristics, and with thrombotic risk during follow-up.
At diagnosis, patients with myelofibrosis had a median RDW value of 19.3%. On average, RDW values did not show statistically significant changes over time, and the use of certain cytoreductive drugs did not significantly affect RDW change over time. Higher RDW was statistically significantly associated with female sex, absence of CALR gene mutations, higher degree of bone marrow fibrosis, anemia and thrombocytopenia, presence of constitutional symptoms, dependence on red blood cell transfusions, larger palpable spleen size, higher DIPSS risk score for death, and higher Charlson comorbidity index.
Higher RDW values were associated with an increased thrombotic risk in general (an 18% higher thrombotic risk for each percentage point increase in RDW) and with the occurrence of venous thrombosis. An increase in RDW over six months was associated with an increased risk of arterial thrombosis.
This study demonstrates the role of RDW as a widely available and inexpensive prognostic tool for predicting thrombotic incidents in patients with myelofibrosis, but the results need to be validated in a larger sample and under prospective research conditions
Significance of intraoperative findings in revision tympanomastoidectomy
No full textTimpanomastoidektomija predstavlja kirurški zahvat usmjeren na liječenje patologija srednjeg uha, osobito kronične upale, kolesteatoma te drugih destruktivnih procesa koji zahvaćaju šupljine srednjeg uha i mastoida. Razlikuje se primarna timpanomastoidektomija, koja se odnosi na prvi kirurški zahvat kojim se pristupa srednjem uhu i mastoidnom nastavku, i revizijska timpanostoidektomija, koja se provodi kada je potrebna daljnja intervencija zbog recidiva bolesti, komplikacija ili neuspjeha primarne operacije. Osnovna podjela timpanomastoidektomija uključuje pristupe s očuvanjem stražnjeg zida zvukovoda (CWU) i pristupe s njegovim uklanjanjem (CWD). Unatoč temeljitoj preoperativnoj evaluaciji, nije moguće sa sigurnošću predvidjeti sve komponente bolesti. Zbog toga se tijekom zahvata može pojaviti potreba za intraoperativnom procjenom i prilagodbom prethodno planiranog kirurškog postupka. Kombinacija kompjuterizirane tomografije (CT) i magnetske rezonancije (MR), naročito s difuzijski ponderiranim sekvencama (DWI), omogućuje vrlo preciznu procjenu proširenosti bolesti i detekciju rezidualnih ili recidivnih lezija. Recidivi se najčešće javljaju zbog zaostalih patoloških stanica u teško dostupnim regijama što ukazuje na važnost temeljite intraoperativne procjene i kirurškog pristupa tim lokalizacijama. Povezivanje mjesta recidiva bolesti s ishodima sluha ima važnu prognostičku vrijednost jer je postoperativno poboljšanje sluha pod izravnim utjecajem mjesta recidiva. Pažljivo kirurško planiranje, temeljeno na ekstrapoliranim podacima o svim anatomskim rizičnim točkama, ključno je za smanjenje potrebe za dodatnim revizijskim zahvatima.Tympanomastoidectomy is a group of surgical procedures used to treat middle ear diseases, particularly in cases of chronic inflammation, cholesteatoma, and other destructive processes affecting the middle ear and mastoid cavities. It includes primary tympanomastoidectomy, which refers to the initial surgical procedure to access the middle ear and mastoid, and revision tympanomastoidectomy, which is performed when further intervention is needed due to disease recurrence, complications or failure of the initial operation. Tympanomastoidectomy is typically classified into two main approaches, approaches with preservation of the posterior wall of the auditory canal (CWU) and approaches with its removal (CWD). Despite a thorough preoperative evaluation, it is not always possible to fully anticipate the extent and nature of the disease. Therefore, intraoperative assessment and modifications to the surgical plan may be necessary during the procedure. The combination of computed tomography (CT) and magnetic resonance imaging (MR), especially with diffusion-weighted sequences (DWI), allows for detailed evaluation of the disease extent and detection of residual or recurrent lesions. Recurrences most often occur due to residual pathological cells in difficult-to-reach regions, highlighting the importance of thorough intraoperative assessment and surgical approach to these locations. The location of disease recurrence has prognostic significance, as postoperative hearing improvement is directly influenced by the site of recurrence. Careful surgical planning, based on extrapolated data on anatomical risk points, is essential for minimizing the need for further revision procedures and achieving better clinical outcomes
Consumer perception of the use of virtual reality (VR) in the process of buying real estate
No full textU današnje vrijeme, tehnološki napredak donosi inovacije u različite sektore, uključujući i sektor nekretnina. Jedna od ključnih inovacija koja transformira iskustvo kupnje nekretnina je tehnologija virtualne stvarnosti (VR). Ova tehnologija donosi revoluciju u način na koji potencijalni kupci i investitori doživljavaju nekretnine te mijenja tradicionalne metode kupoprodaje i unajmljivanja stambenih i poslovnih prostora. Virtualni alati, poput virtualnih tura i 3D modeliranja, sve više se integriraju u industriju nekretnina, čime se mijenja način na koji kupci traže i vrednuju nekretnine. Ovaj diplomski rad istražuje kako i u kojoj mjeri tehnologija virtualne stvarnosti utječe na donošenje odluka, povjerenje, percepciju i korisničko iskustvo prilikom kupnje nekretnine. Rad se fokusira na analizu prednosti i izazova koje VR tehnologija donosi unutar industrije nekretnina te kako potrošači doživljavaju i prihvaćaju ovaj inovativni pristup kupnji. Istraživanjem se prati percepcija potrošača o korištenju virtualne tehnologije u procesu kupnje nekretnine. Metodologija istraživanja uključuje analizu relevantne literature i provedbu empirijskog istraživanja.Nowadays, technological advancements bring innovation to various sectors, including the real estate market. One of the key innovations that is transforming the real estate buying experience is virtual reality (VR). This technology is revolutionizing the way potential buyers and investors experience real estate, changing the traditional methods of buying, selling and renting residential and commercial spaces. Virtual tools, such as virtual tours and 3D modeling, are increasingly being integrated into the real estate industry, changing the way buyers search for and evaluate properties. This thesis examines how and to what extent virtual reality technology affects decision-making, trust, perception and user experience when buying real estate. The paper focuses on analyzing the advantages and challenges that VR technology brings in the context of the real estate industry and to determine how consumers perceive and accept this innovative approach to purchasing. The research monitors the consumer's perception of the use of virtual technology in the process of buying real estate. The research methodology includes the analysis of relevant literature and the implementation of empirical research
Immunotherapy in the second-line treatment of non-small cell lung cancer
No full textKarcinom pluća, osobito nemalih stanica, i dalje je jedna od vodećih nezaraznih bolesti razvijenog svijeta. Nastanak karcinoma je najčešće povezan s pušenjem, a zbog nespecifičnosti simptoma u ranoj fazi, većina bolesnika u trenutku dijagnoze ima prošireni stadij bolesti, kada su mogućnosti liječenja ograničene. Bolje razumijevanje karcinogeneze kao složenog genetskog, molekularnog i imunološkog procesa dovelo je do značajnog iskoraka u razvoju imunoterapije. U posljednjem desetljeću, imunoterapija inhibitorima imunoloških kontrolnih točaka PD-1/PD-L1 pokazala je bolje ishode u liječenju uznapredovalog stadija NSCLC-a u usporedbi s do tad standardnom kemoterapijom. Imunoterapijski lijekovi odobreni u drugoj liniji liječenja su pembrolizumab, nivolumab i atezolizumab te su svi pokazali jednako dobru učinkovitost, osobito u bolesnika s visokom ekspresijom PD-L1 (>50%). Novija istraživanja usmjerena su na pronalazak idealnog tumorskog biomarkera koji bi omogućio precizniji odabir pacijenata koji bi imali najviše koristi primjene imunoterapije. Određena ograničenja koja utječu na terapijski odgovor su razne imunološki posredovane nuspojave, razvoj rezistencije na terapiju te specifičnost samog tumorskog mikrookruženja. Iako je imunoterapija odnedavno uvrštena u prvu liniju liječenja metastatskog NSCLC-a, odabir imunoterapije u drugoj liniji liječenja i dalje ima važnu ulogu u bolesnika koji nisu bili kandidati za njihovu primjenu u prvoj liniji. Daljne razumijevanje molekularne podloge nastanka tumora i složenog imunološkog odgovora ključni su za dodatan razvoj ciljanih terapija koje će dodatno unaprijediti liječenje uznapredovalog NSCLC-a.Lung cancer, particularly non-small cell lung cancer, remains one of the leading non-communicable diseases in the developed world. The development of carcinoma is most commonly associated with smoking and due to the non-specific nature of symptoms in the early stage, most patients have advanced-stage disease at the time of diagnosis, when treatment options are limited. Better understanding of carcinogenesis as a complex genetic, molecular and immunological process has led to significant advances in the development of immunotherapy. In the last decade, immunotherapy with PD-1/PD-L1 immune checkpoint inhibitors has shown better outcomes in treating advanced-stage NSCLC compared to previously standard chemotherapy. Immunotherapeutic drugs approved for second-line treatment are pembrolizumab, nivolumab and atezolizumab, all of which have shown equally good efficacy, particularly in patients with high PD-L1 expression (>50%). Recent research has focused on finding the ideal tumor biomarker that would enable more precise selection of patients who would benefit most from immunotherapy. Certain limitations that affect therapeutic response include various immune-mediated adverse effects, development of therapy resistance and the specificity of the tumor microenvironment itself. Although immunotherapy has recently been included in first-line treatment of metastatic NSCLC, the selection of immunotherapy in second-line treatment still plays an important role in patients who were not candidates for its application in first-line therapy. Further understanding of the molecular basis of tumor development and complex immune response is crucial for additional development of targeted therapies that will further improve the treatment of advanced NSCLC
Research on the application and willingness of tourist for using information and communication technology when traveling
No full textOvim se radom istražuje koliko su turisti spremni koristiti različite oblike informacijsko-komunikacijskih tehnologija te pokazuje primjena IKT-a u različitim sektorima s naglaskom na turizam
Potentials of health tourism development in Zagorje : revitalization of Sutin spa
No full textZdravstveni turizam postaje sve značajniji segment turističke ponude Hrvatske, nudeći spoj
prevencije, liječenja i rekreacije. Hrvatsko zagorje, s bogatim termalnim izvorima i lječilišnom
tradicijom, ima izražen potencijal za daljnji razvoj upravo u ovom obliku turizma. Sutinske toplice,
iako danas zapuštene, predstavljaju vrijedan resurs čija bi revitalizacija mogla donijeti višestruke
koristi za lokalnu zajednicu i regiju. Održivi razvoj zdravstvenog turizma u ovom kontekstu
uključuje iskorištavanje prirodnih ljekovitih resursa, očuvanje okoliša, razvoj infrastrukture i
potporu lokalnom gospodarstvu. Primjeri iz okolnih toplica u Zagorju pokazuju kako se lječilišni
turizam može uspješno integrirati u širu ponudu, uključujući wellness i rekreaciju. Analizom
stavova lokalnog stanovništva i bivših korisnika Sutinskih toplica, potvrđuje se interes i podrška
za njihovu obnovu. Iako postoje izazovi poput financiranja i zapuštene infrastrukture, prepoznaje
se potreba za suradnjom svih dionika, lokalnih vlasti, investitora i zajednice. Revitalizacija
Sutinskih toplica mogla bi pridonijeti cjelogodišnjem turizmu, većoj zaposlenosti i očuvanju
prirodne i kulturne baštine Hrvatskog zagorja. Dugoročno, održiv zdravstveni turizam može
postati jedan od ključnih nositelja razvoja regije i dodatno pozicionirati Hrvatsku kao poželjnu
destinaciju zdravlja.Health tourism is becoming an increasingly important segment of Croatia’s tourism offer,
providing a combination of prevention, treatment and recreation. The region of Hrvatsko Zagorje,
with its rich thermal springs and spa tradition, holds significant potential for further development
in this form of tourism. Sutin spa, although currently neglected, represent a valuable resource
whose revitalization could bring multiple benefits to the local community and the region.
Sustainable development of health tourism in this context involves the use of natural healing
resources, environmental preservation, infrastructure development, and support for the local
economy. Examples from nearby spas in Zagorje demonstrate how spa tourism can be successfully
integrated into a broader offering, including wellness and recreation. An analysis of the attitudes
of local residents and former users of Sutin spa confirms interest and support for their restoration.
Although there are challenges such as funding and neglected infrastructure, the need for
collaboration among all stakeholders, local authorities, investors, and the community. Revitalizing
Sutin spa could contribute to year-round tourism, increased employment, and the preservation of
the natural and cultural heritage of Hrvatsko Zagorje. In the long term, sustainable health tourism
could become one of the key drivers of regional development and further position Croatia as a
desirable health destination