Introduction. Lower leg fractures are most frequent of all fractures of long bones because a lower leg is very exposed part of a leg, especially it is anteromedial side of tibia, located immediately under skin. Aim of this paper is to analyse results of teatment of open and closed diaphysial tibial fractures using method of external fixation. Patients and methods. We analyzed the results of treatment of open and closed diaphysial tibial fractures using method of external fixation at Department of Ortopedics od Doboj hospital in period from 2005 until 2009. All patients with open fractures been treated first with surgical treatment of the wound up to 8 hours and with installation of external fixator. Patients with closed fractures which did not have satisfactory reposition have been installed external fixator which was worn from 4 to 8 weeks and then taken off, they have been applied a closed lower leg walking cast which was worn pending fracture healing verified by a clinical and xray examination. Patients in wich there was no healing process have undergone a subseqent surgical treatment which in all cases was positive. After surgical treatment all patients were sent for physical therapy. Results. Out of 124 patients with diaphysial tibial fractures, 56 (45,2%) were with open fractures and 68 of them (54,8%) were with closed fractures. After a primary treatment, there were 49 (87,5%) open fractures and 39 (57,4%) closed fractures with complications. Conclusion. Treatment of closed and open diaphysial tibial fractures by means of external fixation in open fractures as standard and selected closed fractures have shown good results with a small number of complications which were removed by a second surgical teatment. This method of treatment fractures is recommendable method in a primary as well as in final treatment of these fractures due to a positive treatment outcome.

Objective: The primary aim of this study was to examine whether the perception of the patient’s disease and adherence to treatment process influence treatment outcomes of heart failure. The secondary aim was to analyze whether there were differences in perception and adherence in patients with heart failure in relation to anemia. Method. A cross-sectional study was carried out in 2015. One group consisted of 100 patients with heart failure and sideropenic anemia. The other group consisted of 100 patients without anemia. The standardized questionnaire was used to collect demographic data, the Brief Illness Perception Questionnaire to measure the patients’ perception of the disease and modified Clinician rating scale to assess patient’ s adherence. Results: The majority of respondents in the first group were women 63%, while in the second group there were 58% male and 42% female respondents. Respondents from the first group had statistically significantly lower adherence compared to respondents from the second group (χ2 = 23.28; p=0.05). A significant difference was found between the groups of subjects in comparison to the perception of disease control (χ2=18.03; p=0.05). Conclusion: The illness perception and treatment adherence have a significant impact on treatment outcomes of heart failure. Comorbidities, such as anemia, contribute to the patients’ perception of their disease and influence their adherence. Кey words: heart failure, sideropenic anemia, illness perception, adherence doi:10.5937/opmed1902029D

INTRODUCTION: Internet addiction is a topic that is widely debated in scientific circles and the media. Students spend a lot of time in content-related activities online, neglecting common activities such as socializing, business obligations, learning, home affairs, etc., and have difficulty interrupting internet activities, even when they themselves recognize it is time for it. AIM: The aim of this research was to investigate Internet addiction among students of the Medical Care, Faculty of Medicine in Foca. MATERIAL AND METHODS: The research was conducted at the Medical Faculty in Foca in the period from 07.11. until 09.11.2016. year with health care students. The selected study design is a cross section study. The study covered 60 students, the first, second and third year of studies that were present on the days of the study and volunteered to participate in the research. RESULTS: The survey involved 60 respondents, of whom 21 are men (35%) and 39 women (65%), ages 18 to 24 years old. All of our respondents are Internet users. The largest percentage of respondents (66.7%) use the internet for 2 to 4 hours. The largest number of respondents first accessed the Internet at the age of 13 (21.7%). Most respondents use Facebook as a social network 56 (93.3%), while the least number of Twitter users. CONCLUSION: All of our respondents are Internet users, and the largest percentage of respondents (66.7%) use the internet for 2 to 4 hours. The largest number of respondents first accessed the Internet at the age of 13 (21.7%).

According to the World Health Organization, quality communication is one of the five skills that individuals need for a healthy and happy life, and the knowledge and skills of quality communication are a prerequisite for quality action for many professions. In order for healthcare professionals to tailor health communication to each patient individually and to provide high quality healthcare, it is essential that they have an insight into the health literacy status of their users. Given the large percentage of the illiterate population around the world, it is necessary to conduct health literacy research in some of our adapted measuring instruments in our country as well.

The global economic crisis has not spared the countries of the Western Balkans. The ensuing recession, characterized by a decline in economic activity, a decline in consumption and an increase in unemployment, went hand in hand with drops in public revenues. This in turn resulted in budget imbalances that manifested in structural budget deficits and higher public debt. Fiscal consolidation was deemed necessary across the board. In this process, certain fiscal policy elements varied among countries. The structure of public revenues and public expenditures changed. The question is whether the fiscal consolidation was successful and to what extent. Dynamic panel analysis using PMG estimator in six Western Balkan Countries for the period 2004-2016 has shown that fiscal consolidation has positive impact on economic growth in this region. So, Western Balkan Countries have to conduct responsible public finances in order to encourage economic growth.

The district heating system in Serbia, with an installed capacity of 6600 MW, currently supplies 58 towns with thermal energy. As a candidate country for accession to the European Union, Serbia faces the obligation to reduce the level of its GHG emissions as part of environmental reforms. This paper presents a basic scenario and three alternatives for final energy consumption in the district heating sector for the years 2015, 2020, and 2025. It is suggested that demand for heating will increase 10% up to 2020 and by 15% up to 2025, in relation to 2015 levels, while the share of each energy carrier will not change. Changing the structure of energy sources for heat supply assumes a decrease in the share of coal and liquid fuel, and increases in the use of biomass and natural gas. The results obtained were compared to the General Index of Sustainability which is a measure of the complexity of the proposed energy scenario. The paper considers the formation of related energy indicators as quantitative tools for the analysis of changes. It also proposes a methodology for multi-criteria analysis in the sustainability assessment of complex energy systems based on the stochastic evaluation of criteria (sets of indicators and sub-indicators). In this way, the results of the multi-criteria assessment can help in the decision-making process in cases where economic, social and ecological criteria are considered to be influential.

Energy certification of buildings in Serbia was introduced in 2011 and energy label depends on energy need for heating per unit floor area of heated space, calculated by the fully prescribed monthly quasi-steady-state method defined by ISO 13790. In the Republic of Serbia, most of families live in single-family houses built before the energy certification of buildings was introduced. Therefore, the estimation of energy performance of the existing buildings is important for labeling, and evaluation of energy saving measures and energy strategies to be implemented. This paper examines the applicability of monthly method defined by National legislation on the existing buildings stock in Serbia, by comparing it to the more accurate dynamic simulation method. Typical single-family houses are taken as a test case, since they are responsible for about 76% of energy consumption for heating. The results show that the dynamic simulation method estimates 21% to 54% higher energy need for heating, compared to the monthly method. Also, the monthly method estimates up to 13% higher savings by typical building envelope energy saving measures, compared to the dynamic simulation. This paper recommends improvement in procedures for calculation of building energy performance index to better assess energy consumption, effects of energy saving measures, and create solid background for developing and implementing of energy saving strategies.

Cilj. Studija je sprovedena da utvrdi navike u ishrani kod zdravstvenih i prosvjetnih radnika u radi bližeg uvida u nutritivni obrazac kod ovih profesija, što bi unapredilo teorijska znanja u ovoj oblasti i planiranje i sprovođenje preventivnih mera u ciljnim populacionim grupama. Metode. Svi zdravstveni radnici zaposleni u Domu zdravlja ,,Dr Nika Labović”u Beranama i svi zaposleni prosvjetni radnici u Osnovnoj školi ,,Vuk Kardžić“ u Beranama su popunili anketu o ishrani. Podaci su prikupljeni prospektivno i analizirani metodama deskriptivne statistike i testiranja hipoteze. Rezultati. Ukupno je bilo 180 odraslih ispitanika oba pola (109 zdravstvenih i 71 prosvetni radnik), u životnom dobu od 43.70±11.90 (srednja vrednost±standardna devijacija) u grupi zdravstvenih radnika i 42.29±10.90 godine u grupi prosvetnih radnika. Nije bilo statistički značajne razlike između grupa u vrsti masnoća za pripremanje hrane, učestalost pripremanje hrane kod kuće, prosječnom broj kašika šećera za šolju kafe ili čaja, dodavanje soli hrani tokom obroka i upotrebi mlijeka. Zdravstveni radnici su značajno češće imali jutarnji obrok (79 vs 42, χ2=3.444, p=0.045), veći broj šolja kafe dnevno (3.17±1.23 vs 2.67±0.98, F=7.330, p=0.008) a manje prosječan broj kriški hljeba koji nije ražani i bjeli na dnevnom niovu (2.00±1.38 vs 3.06±1.53, F=5.292, p=0.027).