Background: Primary percutaneous coronary intervention (PCI) is an emergent percutaneous catheter intervention in the setting of ST-segment elevations myocardial infarction (STEMI), without previous fibrinolytic treatment. Aim: To evaluate the feasibility and outcomes of primary percutaneous coronary interventions for STEMI in regional tertiary care cardiac centre in Bosnia and Herzegovina. Methods: Between January 2014 and December 2016, consecutive 549 STEMI patients who underwent primary PCI were prospectively enrolled in a primary PCI registry. The most of coronary angiography procedures were performed using the radial artery route. Patient demographics, risk factors, procedural characteristics, time variables and in-hospital events were assessed. Results: On admission, 297 (64.7%) of the patients were current smokers, 234 (42.6%) were hypertensive, 172 (31.3%) were diabetics, and 68 (12.3%) had cardiogenic shock. The mean duration of time from symptom onset to hospital arrival 193±118.2 minutes, and the mean door-to-balloon time was 37±11.3 minutes and median total ischemic time was 265(60-897) minutes. Infarct-related artery (IRA) was the left anterior descending artery in 47.1%, multivessel disease was present in 49.7%. Primary PCI involved balloon dilatation (2.7%) and stent implantation (97.3%). The incidence of postprocedural angiographic no-reflow was 6.7%. All-cause mortality occurred in 17 patients (3.1%). Conclusion: This study has shown feasibility and efficiency in performing of primary PCI with good outcomes in the first regional interventional center in Bosnia and Herzegovina. Experiences and results of our hospital can be very useful in creating primary PCI networks in our countries and developing countries as well.

Children with atopic dermatitis (AD) usually develop symptoms when they reach the age of 6-7 years, but the risk of developing respiratory allergies, asthma and allergic rhinitis (AR) remains high. In most children with AD, the development of asthma and AR is associated with sensitization to food allergens and/or aeroallergens, while only a small percentage missed atopic diathesis. In about 35% of children with AD, food allergy is the provoking cause, and 60% of infants who had AD in the first 3 months of life were sensitized against aeroallergens by the age of 5. The aim of the study was to follow development of asthma and AR and to assess the most significant risk factors for developing respiratory allergy. A total of 114 children with AD were followed up for five years. At annual visits, the severity of disease, total immunoglobulin E (IgE) antibody values, skin prick tests, specific IgE antibodies to food allergens and aeroallergens, and absolute eosinophil count were assessed. Information on the family history of atopy and AD, feeding patterns during infancy, data on sensitivity to food allergens and/or aeroallergens, and on the occurrence of bronchial obstruction and nose symptoms were obtained. Asthma developed in 36 children, median age 7.7 years; 33 children had symptoms of AR, and 13 children with AD had both diseases associated; 38 children had sensitivity to food, of which 24 developed asthma and 13 AR; asthma developed in 18/23 children with sensitivity to aeroallergens, and almost an equal number of children developed AR. The increased absolute eosinophil count and specific IgE to aeroallergens and food allergens were the best asthma predictors, while AR predictors were family history and early onset of AD. In conclusion, children with AD are at a significant risk of developing respiratory allergies, and those with the increased absolute eosinophil count, positive specific IgE to aeroallergens and food allergens, heredity of AD, and early onset of AD are at the highest risk. Identification of risk factors will enable us to improve the treatments of AD in order to reduce the severity of disease and prevent manifestation of respiratory allergy.

Aim To determine newest the most accurate allele frequencies for 15 short tandem repeat (STR) loci in the Bosnian and Herzegovinian population, calculate statistical parameters, and compare them with the relevant data for seven neighboring populations. Methods Genomic DNA was obtained from buccal swabs of 1000 unrelated individuals from all regions of Bosnia and Herzegovina. Genotyping was performed using PowerPlex® 16 System to obtain allele frequencies for 15 polymorphic STR loci including D3S1358, TH01, D21S11, D18S51, Penta E, D5S818, D13S317, D7S820, D16S539, CSF1PO, Penta D, vWA, D8S1179, TPOX, and FGA. The calculated allele frequencies were also compared with the data from neighboring populations. Results The highest detected value of polymorphism information content (PIC) was detected at the PentaE locus, whereas the lowest value was detected at the TPOX locus. The power of discrimination (PD) values had similar distribution, with Penta E showing the highest PD of 0.9788. While D18S51 had the highest value of power of exclusion (PE), the lowest PE value was detected at the TPOX locus. Conclusion Upon comparison of Bosnian and Herzegovinian population data with those of seven neighboring populations, the highest allele frequency differentiation was noticed between Bosnian and Herzegovinian and Turkish population at 5 loci, the most informative of which was Penta E. The neighbor-joining dendrogram constructed on the basis of genetic distance showed grouping of Slovenian, Austrian, Hungarian, and Croatian populations. Bosnian and Herzegovinian population was between the mentioned cluster and Serbian population. To determine more accurate distribution of allelic frequencies and forensic parameters, our study included 1000 unrelated individuals from all regions of Bosnia and Herzegovina, and our findings demonstrated the applicability of these markers in both forensics and future population genetic studies.

UDK: 630*81:674.031.632.2(497.6 Kladanj)            582.632.2:674.038.17(497.6 Kladanj) There are many factors that affect appearance and spreading of the red heart in beech stands. Therefore, this research presents an analysis of site quality class and taxation elements (diameter at the breast height, height of the tree and age of the tree) influence on the participation and distribution of the red heart in the forest compartments 107. M.U. „Gosteljaˮ - (II- quality class) and 47. M.U. „Srednja Drinjačaˮ - (III- quality class). The appearance of the red heart on the beech trees considering on the site quality class was researched, as well as the red heart appearance frequency in dependence on the tree diameter at the breast height and age of the tree, size and distribution of the red heart in the longitudinal and transverse direction. The results of research showed that the number of trees with the red heart and the length of the technical roundwood with the red heart increase with increase of diameter at the breast height (age of the tree). As well, it was established that the appearance frequency of the trees with red heart considering the diameter at the breast height (the age of the tree) was larger on the stands belonging low quality site classes. The site quality class affects the distribution of the red heart at the thicker beech trees in the longitudinal direction, while at the thinner and trees of medium diameter, the influence of site quality class on the distribution of the red heart is not expressed in great extent. Larger diameters of the red heart in average have beech trees on the low quality site classes.

Introduction: Hospital-acquired infections (HAI) and surgical site infections (SSI) are a global public health problem. The aim of the study was to determine the incidence of SSIs at the Surgical Clinics of the University Clinical Centre Banja Luka and to identify risk factors for the development of SSIs. Methods: In order to determine the frequency of SSIs through the incidence compared to the patients operated at the Surgical Clinics of the University Clinical Centre Banja Luka, we conducted a prospective cohort study which encompassed 11.216 operated patients, in the period from November 11th, 2014 to September 30th, 2015. In order to identify risk factors for the development of SSIs, a nested case-control study of risk factors for SSIs was conducted. The study group consisted of patients who were diagnosed with SSIs in the period of monitoring, while the control group was consisted of patients without SSIs who corresponded with the study group in age and sex. Results: The highest values of incidence of SSIs were observed at the Department of Anesthesia and Intensive Care (2.65%), Department of Orthopaedic Surgery (2.48%) and the Department of Vascular Surgery (2.15%), and the lowest ones at the Department of Urology (0.59%). Among the cases of SSIs, deep infections of the surgical site were the most represented (82.7%). Multivariate logistic regression was used to identify the following independent risk factors: length of pore-operative stay in hospital (p=0.000; OR=1.062; 95% CI=1.037-1.087), reintervention (p=0.000; OR=22.409; 95% CI=6.361-79.071) and cotrticosteroids (p=0.023; OR=4.141; 95%CI=1.221-14.047). Conclusion: The incidence of SSIs at the Surgical Clinics of the University Clinical Centre Banja Luka is at the level of hospitals in developed countries. There are a number of risk factors for SSIs, which may be prevented.

The aim of the study was to investigate the unknown effect of air pollutants on the occurrence or deterioration of respiratory diseases in the area with a humid continental climate. This retrospective study included 5868 patients with respiratory symptomatology (upper respiratory tract infection (URTI), pneumonia, acute bronchitis, chronic obstructive pulmonary disease (COPD), and asthma) admitted to emergency department (ED). The number of patients, values of meteorological parameters (mean daily values of air temperature pressure and relative humidity) and concentrations of air pollution particles (≤10 μm (PM10), ozone (O3) and nitrogen dioxide (NO2)) were collected during a two-year ( July 2008 - June 2010) period. There were 1839 (31.3%), 1712 (29.2%), 1313 (22.4%), 614 (10.5%) and 390 (6.6%) patients with pneumonia, COPD, URTI, acute bronchitis and asthma, respectively. The mean daily concentrations of NO2 (25.9 (1.7-89.7) μg/m3), O3 (47.1 (4.7-135.4) μg/m3) and PM10 particles (25.7 (4.6-146.6) μg/m3) were below the legally defined thresholds. Among other results, the occurrence of respiratory diseases showed positive Spearman's correlation with the values of air humidity (days 0-3, r=0.15 to 0.19), PM10(days 0-3, r=0.10 to 0.13) and NO2 concentrations (day 0, r=0.11), and negative correlation with the values of air temperature (days 0-3, r=-0.36 to -0.34), pressure (day 0, r=-0.10) and O3 concentrations (days 0-3, r=-0.21 to -0.22) (p<0.05 all). In conclusion, the occurrence of respiratory diseases showed correlation with weather conditions and air pollutants despite the legally permitted values in the region with a humid continental climate.

Chronic obstructive pulmonary disease (COPD) and heart failure (HF) both are global epidemics with substantial burden on morbidity and mortality. They present major challenges to healthcare providers and often coexsist. Multiple interactions exist between these conditions. COPD is often responsible for delayed diagnosis of HF and vice versa, since both conditions have similar symptoms such as dyspnea and poor exercise tolerance based on the skeletal myopathic response rather than the primary organ failure. Patients with COPD also have an increased risk of developing HF and higher hospitalization and death rates compared with HF patients without COPD. Echocardiography and pulmonary function tests along with natriuretic peptides should be performed and carefully interpreted. Diagnostic assessment of both conditions present in the same patient is often difficult, but therapeutic approach is also often non-adherent to current guidelines. For example, patients with coexisting COPD and HF receive beta-blockers at disappointingly low rates below 20%. Closer collaboration between cardiologists and pulmonologists is required for better identification and management of concurrent COPD and HF.

Introduction: One of the most frequently used method for scanning patients with indication for dental implantation in dentistry is cone beam computed tomography. Implantation, CBCT imaging and implant programme are inevitable when planning a successful replacement of lost teeth. CBCT offers exact information about available bone and its density, adjacent tooth roots, the place of mandibular canal and maxillary sinus and adjacent anatomical structure. Aim: The goal of this study is to estimate accuracy of measurements on CBCT images ofpatients who have implants of different producers and determine if there is any statistically significant correlation between four test groups regardless of the alloy of which implants are made. Material and methods: The study was a prospective-comparative, and included fifteen patients with hundred dental implants divided in four groups depending on the producer. Results: Over dimensioning in the gained measurements of the whole sample on CBCT images in relation to dimensions of producers is between 0.1006mm and 0.368mm. Even though over dimensioning is measured in millimetres, it has to be taken into consideration in clinical practice when planning an implant placement, and we can recommend safety zone of 0.5mm. There have been no statistically significant differences in the gained results in over dimensioning of implants of different alloys for horizontal and vertical measurements on CBCT images of Astra Tech, Brendet titanium implants and Straumann titanium-zirconium implants. Based on the goals of the study there have been confirmed statistically significant correlations of great value (from 0.841 to 0.936) of high level of importance between manufactured value of dimensions and average dimensions values gained through CBCT imaging in four types of implants (four test groups). The total exactness of measurements on CBCT scan in this research is 96.66% for horizontal measuring and 96.92% for vertical measuring. Therefore, we can conclude that CBCT as radiological method has an unavoidable importance in planning and successful realisation of dental implant procedure. Conclusion: Cone Beam Computed Tomography provides exact measurements of dimensions of placed dental implant in relation to dimensions of the producers of the implant because the material from which dental implants have been made does not significantly affect the precision of the measurement.

Abstract Pojskic, H, Sisic, N, Separovic, V, and Sekulic, D. Association between conditioning capacities and shooting performance in professional basketball players: an analysis of stationary and dynamic shooting skills. J Strength Cond Res 32(7): 1981–1992, 2018—Little is known about the influence of conditioning capacities on shooting performance in basketball. The aim of this study was to examine the relationship between different conditioning capacities and shooting performance in professional basketball players. In this investigation, we examined 38 males (all perimeter players; height: 185.5 ± 6.73 cm; mass: 78.66 ± 10.35 kg). Conditioning capacities were evaluated by tests of muscular strength, aerobic endurance, jumping and throwing capacities, sprinting speed, preplanned agility, anaerobic endurance, and fatigue resistance. Shooting performance was evaluated using game statistics, as well as 6 tests of shooting performance performed in controlled settings: (a) 3 tests of static (i.e., nonfatigued) shooting performance (standardized execution of 1- [S1], 2- [S2] and 3-point shots [S3] in stationary conditions), and (b) 3 tests of dynamic (i.e., fatigued) shooting performance (standardized execution of 1- [D1], 2- (D2), and 3-point shots [D3] in dynamic conditions). All 3 dynamic shooting tests and the S1 test were significantly (p ⩽ 0.05) correlated with corresponding game statistics. Multiple regression indicated that conditioning capacities were significantly related to D1 (R2 = 0.36; p = 0.03), D2 (R2 = 0.44; p = 0.03), S3 (R2 = 0.41; p = 0.02), and D3 (R2 = 0.39; p = 0.03) tests. Players with a higher fatigue resistance achieved better results on the D1 test (&bgr; = −0.37, p = 0.03). Preplanned agility (&bgr; = −0.33, p = 0.04), countermovement jump (&bgr; = 0.42, p = 0.03), and fatigue resistance (&bgr; = −0.37, p = 0.02) were significant predictors of D2 performance. The countermovement jump (&bgr; = 0.39, p = 0.04), medicine ball toss (&bgr; = 0.34, p = 0.04), and anaerobic endurance (&bgr; = 0.46, p = 0.04) predicted the results of D3 performance. Jumping, throwing, and anaerobic endurance capacities were good determinants of the skill of dynamic shooting over a long distance. These findings emphasize the importance of explosive power and anaerobic capacity as determinants of shooting performance in high-level basketball players.

UDK: 582.711.71:547.56 Phenolic content and antioxidant activity of Rosa canina fruit extracts obtained with five different extraction systems were investigated. Extractions were done with water, and aqueous 50% methanol, 50% ethanol, 80% methanol and 80% ethanol. Antioxidant activity was investigated with DPPH, ABTS and FRAP methods using Trolox as a standard. The highest level of phenols (78.83 mg GAE/g), phenolic acids (11.21 mg CAE/g), and proanthocyanidins (29.12 mg CE/g) were found for 50% methanol extract. The highest flavonoid content (1.163 mg RE/g and 0.675 mg QE/g) was determined for 50% ethanol extracts and antocyanin content (0.139 mg CGE/g) for 80% methanol extract. The lowest level of phenols (35.89 mg GAE/g), phenolic acids (4.55 mg CAE/g) and proanthocyanidins (11.93 mg CE/g) had 80% ethanol extract. Flavonoid content (0.341 mg RE/g and 0.214 mg QE/g) was the lowest in water extract and anthocyanidin content (11.93 mg CE/g) in 50% ethanol extract. Antioxidant activity for DPPH was in a range 255.62-407.82 µmol TE/g, for ABTS 312.06-616.10 µmol TE/g and for FRAP 349.33-690.37 µmol TE/g with lowest values for 80% ethanol extract and highest values for 50% methanol extract. Phenols and proanthocyanidins showed high positive correlation with antioxidant activity for DPPH (r2 =0.927-0.9621), ABTS (r2 =0.980-0.9935) and FRAP (r2 =0.9352-0.9633). No correlation was observed for flavonoid and anthocyanidin content with antioxidant activity.

UDK: 582.916.16:547.56             547.56:543.42 Total contents of phenols, flavonoids, phenolic acids and proanthocyanidins have been determined in methanolic extracts of Fraxinus ornus L. and Fraxinus pennsylvanica Marsch. leaves and branches bark.  DPPH and FRAP assay were used in the determination of antioxidant capacity. F. ornus leaves had higher contents of flavonoids (13.08 mg RE g-1 DW) and proanthocyanidins (7.29 mg LCE g-1 DW) while the bark had higher contents of phenols (56.47 mg GAE g-1 DW), phenolic acids (14.32 mg CAE g-1 DW) and coumarins (94.81 mg CE g-1 DW). F. pennsylvanica leaves were richer in contents of phenols (25.73 mg GQE g-1 DW), flavonoids (2.87 mg CE g-1 DW and 5.13 mg RE g-1 DW), phenolic acids (14.60 mg CAE g-1 DW) and coumarins (20.01 mg CE g-1 DW) while the bark had more proanthocyanidins (6.88 mg CE g-1 DW). F. ornus leaves had lower contents of phenolic acids (11.09 mg CAE g-1 DW) than F. pennsylvanica leaves. Also, F. pennsylvanica bark had higher contents of flavonoids (1.25 mg RE g-1 DW) and proanthocyanidins (6.88 mg CE g-1 DW) than F. ornus bark. Antioxidant capacity for both species was higher for the leaves than the bark. Generally, F. ornus had better antioxidant capacity than F. pennsylvanica. Very high correlations were found between antioxidant capacity and phenols (r2= 0.9361-0.9805), flavonoids (r2= 0.9358-0.9876) and coumarins (r2= 0.9661-0.9938) in leaves. In bark, correlations were found for phenols (r2= 0.9744-0.9796) and coumarins (r2= 0.9757-0.9911).

Introduction: The academic community of Bosnia and Herzegovina (B&H) is represented by four Academies, which include eminent personalities in the field of medical sciences (Academy of Sciences and Arts of Bosnia and Herzegovina, Department for Medical Sciences (ANUBiH), Academy of Sciences and Arts of the Republika Srpska (ANURS), Croatian Academy of Sciences and Arts in BiH (HAZU B&H), and the Academy of Medical Sciences of Bosnia and Herzegovina (AMNuBiH)). Aim: To present scientometric analysis of members of the medical sphere of the ANUBiH, ANURS, HAZU B&H and AMNuBiH, to evaluate members and their scientific rating. Material and methods: The work has an analytical character and presents analysis of the data obtained from the Scopus database. Results are shown through number of cases, percentage, arithmetic mean, standard deviation, median and interquartile range, with Spearman’s rank correlation coefficient. Results: The analysis showed a significant correlation between the Academy and the country of origin of the academician. In AMNuBiH and ANUBiH are mainly represented academics originating from Bosnia and Herzegovina, while ANURS, 71.4% of the members, are academics with background from Serbia. There is no significant correlation between the observed parameters (Scopus parameters–number of papers, H index, number of citations) according to memberschip in Academies. By analyzing the correlation between the country of residence, the number of papers, H index and the number of citations, it has been shown that the correlation is significant between the state and the number of papers, but not the other two observed parameters. Conclusion: Criteria for admission to main academic communities are highly questionable, as this analysis showed. Progress in the academic hierarchy must be more stringent, and the criteria must be set to the highest possible level, as this is the only path which leads to progress.

This year is anniversary of 25 years from establishing the first Cathedra of Medical informatics at Bosnia and Herzegovinian universities (Figures 1, 2, 3). From long time this exam was one of basic in biomedical curricula, but during last 5 years it was changed and modified at different school years regarding modifying all curricula at Faculty of medicine within Bologna model of education, followed proposals some groups of university and faculty managers. This year’s (2016/2017) Medical Informatics was listened to at IV semester and XI semester of school years for students who studied in Bosnian language and at IV semester for students who studied in English language.