Which clinical variables have the most significant correlation with quality of life evaluated by SF-36 survey in Croatian cohort of patient with ankylosing spondylitis and psoriatic arthritis?

The aim of our study was to assess clinical variables with the best correlation to quality of life (QOL) assessed by medical outcome survey Short-Form 36 (SF-36) in patients with spondyloarthritides, including ankylosing spondylitis (AS) and psoriatic arthritis (PsA). We analyzed the cohort of 54 patients (22 patients with PsA and 32 patients with AS), who filled the Croatian version of SF-36. For each type of arthritis, patients were clinically evaluated using the extensive list of clinical variables categorized into subjective and objective group. For AS patients, subjective and objective variables (spinal mobility measurements, clinical assessment of spinal pain, patient assessments of disease activity and pain) correlated mainly with the physical functioning concept of SF-36. Patients assessments of fatigue correlated with the energy/fatigue subscale, whereas patient assessment of enthesial pain correlated with the pain subscale. Correlations between clinical variables and SF-36 concepts of PsA patients showed more diverse distribution than for AS. Objective variables (spinal mobility measurements, a 76-joint score, clinical assessment of spinal pain) correlated with concepts concerning physical health and pain. Several subjective patient assessments correlated with energy/fatigue, emotional well-being, pain and general health subscales. Both patient and physician assessment of PsA activity correlated with the role limitations due to emotional problems. Bath ankylosing spondylitis functional index (BASFI) had the strongest correlation with the physical functioning concept of SF-36 in both diseases. Our findings provide important information to help selecting the variables with strongest impact on QOL, for better planning the management strategies and achieving better rehabilitation results

Duration of the Snow Cover and the Need for Artificial Snow—A Challenge for Management in Ski-Centres of Serbia

The production and use of artificial snow has become necessary in most ski centres in Europe. The lack of snow creates problems in ski centres that were built without the prior valuation of natural factors. The survey covered winter tourist centres in Serbia, which are facing problems due to the shortening of the tourist season caused by the lack of snow cover on the ski slopes. The duration of the snow cover is the result of several factors. Air temperature changes were analysed in mountain tourist centres in Serbia, as well as at undeveloped destinations with a potential for snow sports. On the basis of the quantitative indicators of the air temperature and the methodology by means of which snowmaking is carried out, the time periods during the year for making artificial snow are presented. Due to the forecast rise in air temperature, the issue of profitability of artificial snow in the ski centres of Serbia remains open