Public Health Services in Herzegovina Region during 1992–1995 War

The aim of this study was to describe the situation and the development of Croatian Defense Council medical corps during the 1992–1995 war in Bosnia and Herzegovina. The paper provides an overview and describes the main events that lead to development of the medical care in the wartime conditions, with special emphasis on the public health system in Herzegovina region. This included the creation of three distinctive public health system settings: initial, integral and post-war period, all marked by certain specificities in organization and delivery of the public health and overall health care to both military and civilians. The knowledge and skills gathered during this period can be useful in situations that involve the need for fast public health actions, such as various natural disasters and disease outbreaks, and could be used for establishing highly mobile response public health teams. Furthermore, the experiences gathered during these periods may be useful during the planning phases of the health care reforms, all aiming to deliver the best possible health care to the entire population

Alimentary Infections during War Conditions: Mostar and Tomislavgrad, Bosnia and Herzegovina, 1992–1995

The aim of this study was to assess the outcome of sanitary and epidemiologic measures undertaken in relation to alimentary infections in the military corps of the Croatian Defense Council (Hrvatsko vije}e obrane) and civilian population in Mostar and Tomislavgrad regions during the 1992–1995 War in Bosnia and Herzegovina. A total of 25 (4.8%) of soldiers and 7 (7.1%) of non-military personnel were not being granted medical clearance to be employed in the food provision services. We recorded a total of 68 alimentary infections cases in military personnel (with an incidence of 536,2 per 100,000 persons), and 436 in civilian population (573,9 per 100,000 person), without significant difference between them (p=0.647).We did not record any alimentary infection outbreak in the military personnel, while two smaller epidemics of the abdominal typhus were recorded among civilian populations, but without lethal outcomes. The results of this study suggest that even the most basic adherence to the principle of standard sanitary and epidemiologic preventive measures may substantially reduce the probability of alimentary infections outbreaks, even in the highly disruptive, warfare environment

Endonasal Endoscopic Hydatid Cyst Removal Located in the Pterygopalatine Fossa

Introduction: Hydatid cyst (Echinococcosis) is a zoonosis, most commonly caused by the larval stage of Echinococcus granulosus. The disease has a worldwide geographic distribution and the Mediterranean region is an important endemic area. Definitive hosts are carnivores (e.g. dogs, foxes, cats), and humans are accidental hosts. The infection occurs by ingesting food contaminated with Echinoccocus eggs. Hydatid cysts are most commonly seen in the liver and lungs. Head and neck involvment is rare. To our knowledge, this is the sixth reported case of pterygopalatine fossa involvement in literature. Case report: A 45-years old female patient presented with a hydatid cyst in the right pterygopalatine fossa, which was accidentally discovered on MRI of the head performed for follow up due to previous hydatid cyst management in the parietooccipital brain lobe. We managed the cyst with endoscopic endonasal approach. Discussion: In this report, we present a case of hydatid cyst of the right pterygopalatine fossa and right middle nose meatus which was treated with endoscopic endonasal approach. Conclusion: The hydatid cyst of pterygopalatine fossa is extremely rare. A multidisciplinary approach is mandatory in the management of hydatid cysts. Endoscopic endonasal management has low morbidity and the technique may vary due to surgeon skills, localization of the cyst and available instruments

Fiberoptička trahealna intubacija na budno i rizična ekstubacija u bolesnika s očekivanim otežanim dišnim putom zbog post-traumatske ankiloze temporomandibularnih zglobova

In this case report we present successful airway management in a patient with predicted difficult airway using the Difficult Airway Society guidelines. Our patient presented with recurrence of severely reduced mouth opening due to post-traumatic bilateral temporomandibular ankylosis, and was scheduled for surgical resection of the mandibular articular processes. Awake fiberoptic intubation was planned. After light sedation and thorough topicalization of the nasal cavity the flexible optic bronchoscope was successfully navigated into the trachea with ‘spray-as-you-go’ technique and the endotracheal tube was railroaded over it. After a two-point check of the endotracheal tube placement the patient was put under anesthesia. The surgery was uneventful. Finally, a plan with surgeons for safe extubation was made and the patient was extubated uneventfully on the next day using the airway exchange catheter in the intensive care unit.U ovom prikazu slučaja opisujemo uspješno zbrinjavanje dišnoga puta u bolesnika s predviđenim otežanim dišnim putom primjenjujući smjernice koje je izdalo Difficult Airway Society. Bolesnik se prezentirao otežanim otvaranjem usta posljedično obostranoj post-traumatskoj ankilozi temporomandibularnih zglobova. Planirana je budna fiberoptička intubacija za kiruršku resekciju obaju mandibularnih zglobnih nastavaka. Nakon lagane sedacije i temeljite topikalizacije nosne šupljine fleksibilni optički bronhoskop je uspješno navigiran u traheju tehnikom spray-as-you-go te je endotrahealni tubus postavljen preko njega. Nakon dvostruke provjere položaja endotrahealnog tubusa bolesnik je anestetiziran. Kirurški zahvat je protekao bez neočekivanih događaja. U dogovoru s operaterima primijenjen je plan za sigurnu ekstubaciju te je ona učinjena bez neočekivanih događaja dan kasnije primjenom tzv. katetera “izmjenjivača” u jedinici intenzivnog liječenja

THE IMPACT OF SOCIO-ECONOMIC PROCESSES ON THE HEALTH OF THE ADULT POPULATION

Background: A cross-sectional study in the Primary Care Medical Centre Mostar and Regional Medical Center "Safet Mujić" was conducted. Family physicians randomly surveyed, examined, and analyzed laboratory tests from 300 subjects divided into three age groups from 20-39, 40-54 and 55-65 years, totally 100 subjects. Data for age, sex, smoking status, alcohol consumption, body mass index, blood pressure, blood glucose, triglycerides and cholesterol, and the presence of chronic non-communicable diseases, including diagnosis of depression and the presence of stress were entered in medical records. Results: Levels of cholesterol were significantly higher in rural population as well as among students, and high triglyceride levels most frequently were presented in the student population. A group of farmers had a significantly higher prevalence of hypertension, DM and CVD compared to other investigated groups. The largest number of smokers and people who drink alcohol was present in group with the highest incomes, while obesity was significantly expressed in people with lower incomes. The group of examinees with the highest incomes had the greatest exposure to stress. Conclusions: Socioeconomic processes have an impact on risk behavior of the adult population, and the presence of a number of chronic diseases that are accompanied with increased laboratory blood glucose, cholesterol and triglycerides levels

Učinak socio-kulturoloških čimbenika na mentalno zdravlje i česte kronične bolesti u pacijenata opće medicine u Istočnom i Zapadnom Mostaru, Bosna i Hercegovina: preliminarni rezultati

Since war activities, the previously mixed population of Mostar, Bosnia and Herzegovina, live in segregated parts of the town based on ethnicity. The aim of this study was to examine differences in health risks and health status between populations of the two parts of the town. Health status of 300 randomly selected primary care patients was evaluated by practicing family physicians in two main primary care centers in West and East Mostar. Each group consisted of 150 patients. Data were collected between December 2013 and May 2014. Patients were evaluated for smoking habit, alcohol consumption, body mass index, blood pressure and laboratory measurement of fasting glycemia. Family physicians provided diagnosis of chronic noninfectious diseases (hypertension, diabetes mellitus, cardiovascular disease, malignant disease, depression, and alcoholism). The two groups differed according to age, income, employment status, and rate of alcoholism and hypertension. Alcoholism (OR= 4.105; 95% CI 2.012-8.374) and hypertension (OR=1.972; 95% CI 1.253-3.976) were associated with inhabitants of West Mostar, adjusted for age, employment and income status on logistic regression. In conclusion, ethnic differences between inhabitants of the two parts of the town might influence health outcomes. These are preliminary data and additional studies with larger samples and more specific questions considering nutrition and cultural issues are needed to detect the potential differences between the groups.Ranije miješana populacija Mostara u Bosni i Hercegovini od rata živi u dijelovima grada podijeljenim na osnovi etničke pripadnosti. Cilj istraživanja bio je ispitati razlike u zdravstvenim rizicima i zdravstvenom statusu između populacija dvaju dijelova grada. Obiteljski liječnici dvaju domova zdravlja istočnog i zapadnog Mostara ispitali su zdravstveni status 300 slučajno izabranih ambulantnih pacijenata. Svaka skupina sastojala se od 150 pacijenata. Podaci su prikupljani između prosinca 2013. i svibnja 2014. godine. Prikupljeni su podaci o pušenju, konzumaciji alkohola, indeksu tjelesne težine, krvnom tlaku i laboratorijski mjerenoj glukozi natašte. Dijagnoze kroničnih nezaraznih bolesti (hipertenzija, dijabetes melitus, kardiovaskularne bolesti, maligne bolesti, depresija i alkoholizam) utvrdili su liječnici obiteljske medicine. Dvije skupine razlikovale su se prema dobi, prihodima, zaposlenju, zastupljenosti alkoholizma i hipertenzije. Alkoholizam (OR=4,105; 95% CI 2,012-8,374) i hipertenzija (OR=1,972; 95% CI 1,253-3,976) povezani su sa stanovanjem u zapadnom Mostaru prilagođeno za dob, zaposlenje i zaradu u logističkoj regresiji. Zaključno, etničke razlike između stanovnika dvaju dijelova grada mogu utjecati na zdravstvene ishode. Ovo su preliminarni podaci i potrebna su dodatna istraživanja s većim uzorcima i specifičnim pitanjima vezano uz prehranu i kulturološka pitanja za otkrivanje mogućih razlika među ovim skupinama

BodyMeasures - Sustav za digitalno mjerenje ljudskog tijela

BodyMeasures je inovativni softverski proizvod koji, u svega nekoliko sekundi, koristeći računalni vid, izmjeri ljudsko tijelo (visinu, dužinu podlaktice, potkoljenice itd.) što je značajno brže od svih dosadašnjih priznatih metoda, kojima je za ta ista mjerenja potrebno 25-45 minuta. Prednost BodyMeasures je i što se obavlja u realnom vremenu, bez snimanja fotografija, čime je zajamčena privatnost, anonimnost i sigurnost svake osobe. Proizvod je primjenjiv u čitavom nizu područja: sportu, zdravstvu, obrazovanju, ergonomiji, modi, prodaji odjeće, marketingu i promociji, turističkoj industriji, osiguranju

BodyMeasures - Sustav za digitalno mjerenje ljudskog tijela

BodyMeasures je inovativni softverski proizvod koji, u svega nekoliko sekundi, koristeći računalni vid, izmjeri ljudsko tijelo (visinu, dužinu podlaktice, potkoljenice itd.) što je značajno brže od svih dosadašnjih priznatih metoda, kojima je za ta ista mjerenja potrebno 25-45 minuta. Prednost BodyMeasures je i što se obavlja u realnom vremenu, bez snimanja fotografija, čime je zajamčena privatnost, anonimnost i sigurnost svake osobe. Proizvod je primjenjiv u čitavom nizu područja: sportu, zdravstvu, obrazovanju, ergonomiji, modi, prodaji odjeće, marketingu i promociji, turističkoj industriji, osiguranju

Web application development methodology

Prikaz i opis metodologija razvoja web aplikacija. Prikaz web inženjerstva i web projektnog tima. Razvijanje RIA aplikacije po WebML metodologiji. Prikaz web aplikacije hotela