As part of an international public health partnership formed in 2001 we assessed the impact of Project Northland in Croatia—an adolescent alcohol school-based prevention intervention implemented in Split—on students. The curriculum was implemented in 13 randomly selected schools with another 13 schools serving as controls. The evaluation included quantitative and qualitative methods, using pre/post-tests to compare intervention and controls and follow-up focus groups with parents and teachers. Quantitative data showed the intervention was more successful in changing attitudes in the first two years, but had less impact on older students. Qualitative data suggest benefits from the program overall. Given the intervention was successful in the earlier grades it should be initiated earlier to have a greater impact. Challenges and lessons learned are offered.

To develop a questionnaire on harassment in the workplace among teachers at primary and secondary schools. We analyzed the existing questionnaires on harassment in the workplace and developed a new one was to specifically address harassment of teachers in the public education sector. The questionnaire was then experimentally applied to a sample of 764 primary and secondary school teachers in Split Dalmatia County, Croatia. It included three scales -exposure to harassment, witnessing harassment, and disturbance by harassment. Validity of the three scales was examined by factor analysis. All three scales showed satisfactory metric characteristics: Cronbach alpha coefficient was 0.93 for exposure scale, 0.95 for witnessing scale, and 0.97 for disturbance scale. Out of 764 teachers surveyed, 164 (22.4%) were exposed to and 192 (31.7%) witnessed different kinds of harassment in the previous 12 months. There were significantly more of those who experienced harassment as witnesses (chi(2)(1)=249.301; P<0.001) than as direct victims. Eighty-six teachers (11.5%) reported having psychological and 76 (10.1%) physical health problems caused by their work. Exclusion as a consequence of harassment disturbed women more than men (chi(2)(1)=5.27; P=0.022). Those who were exposed to harassment had significantly lower median age (42; range 23-68) than those who were not exposed (45; range 23-65) (U=31401.50; z=2.129; P=0.033). The questionnaire registered wide spectrum of harassment types, indicating the need for continuous monitoring and systematic work on the prevention of these phenomena. The study showed that exposure to harassment is associated with age, indicating that younger teachers should be the target population for detection and prevention of workplace harassment.

Human error caused by the interaction and effect of fatigue, stress and anxiety in seafarers is the subject of this research. The human element is a major part of the maritime system. We used Bayesian networks to predict human error in maritime affairs by analysing interactions between people, technology, organisational and environmental factors which make up the specificity of the maritime system. Bayesian networks are graphical structures developed to represent the conditional dependencies among a number of variables and to make conditional conclusions related to the selected variables. Through the analysis of psychic causes such as stress, fatigue, anxiety and so on, the model can produce graphic diagrams indicating which rank on which type of vessel at which seafarers age contributes to an increase in conditional probability of human error. The contribution of the paper is to find the worst combinations of influencing variables that can lead to an increase in the risk of human error. The results show a significant level of fatigue and stress in all officers (engine and nautical), regardless of the type of vessel they serve. A strong presence of anxiety is also reported in all surveyed officers, with a higher degree between engine officers.

Due to the size and number of people on board, management of Mega Cruise ships is complex task, especially when managing response during emergency situations. Any emergency situation that occur on cruise ships, as a consequence will have reaction from passengers. Crowd Management Control is a process to manage this reaction. Objective of this work is to explain that management of emergency situations will be successful, if following organizational factors are accomplished: ship’s crew is well trained, efficient communication is established, officer’s leadership skills are developed, crew members are efficiently organized to work in teams and “Culture of Safety” is accepted by all crew members on board. Effective leaders on board cruise ships will create safety awareness of the crew members that will ensure quality response during emergency situation, which will avoid or reduce number of casualties in such situations. Above mentioned organizational factors could be used in daily operations of cruise ships, as well.

War and social transition in Croatia have increased unemployment and rates of substance abuse. A decrease in prevention programs places adolescents at an increased risk. Data collected from the 2002 Split Youth Behavior Risk Survey (YRBS) showed that adolescents are at risk for alcohol use and related problems. Thus, there is a need to strengthen primary and secondary prevention activities to empower adolescents and counteract negative societal change. A public health partnership between the University of Medicine and Dentistry of New Jersey-School of Public Health (UMDNJ-SPH) and Split, Croatia was formed in 2001. Adolescent alcohol prevention was identified as our focus and Project Northland, a model U.S. program, was selected. A strong network of NGOs and government officials support the project. Qualitative evaluation showed strong parent, teacher, and student satisfaction. Preliminary analysis shows a heightened awareness on the part of students that will likely contribute to the overall success of the program.