UDK: 574.5:579.68(285)(497.6) In the spring and summer season of 2014, the change in the number of coliform and heterotrophic bacteria in specific localities of lake Bistarac and lake Vidara were observed and analyzed. Lake Bistarac was formed after the cessation of surface mining in the open pit, while lake Vidara is the artificial lake in the area of Gradacac made in order to protect the industrial zone of flooding. Both of these lakes, placed in Tuzla Canton, are very attractive for tourist and frequently are used for swimming, fishing and recreation. Results of this study showed an increased number of coliform bacteria in both periods, and the presence of Escherichia coli as a direct indicator of fecal pollution, while, as an additional indicator of fecal pollution, Citrobacter and Enterobacter were identified. From the total number of analyzed water samples of the lake Bistarac, 60% of samples belonged into to the second class, and 40% into the first class of water quality. Lake Vidara showed poor quality as the 80% of the analysed samples belonged to the second class and only 20% into the first class of water quality. For the microbiological assessment of the water quality standard microbiological procedures and methods were used. One of the main reasons for poor hygienic state of these two lakes is unregulated sewage network of the villages, restaurants and camping areas placed near the lakes. The increased number of fecal bacteria was found in the water of both lakes, which can be highly dangerous for the human population. Since both lakes are used for recreational purposes it is necessary to establish an appropriate monitoring system on the basis of which is possible to take measures and to protect and improve water quality.
Introduction: Dentine hypersensitivity is characterized by acute, sharp pain arising from the exposed dentine, most commonly in response to thermal, tactile, or chemical stimuli, and which cannot be linked to any other pathological changes in the tooth or the environment. Therapy uses various impregnating agents in the form of solutions or gels and, in more recent times, laser. Aim: The aim of this research was to examine the effects of treatment of hypersensitive dental cervix with diode laser. Materials and Methods: The study included 18 patients with 82 sensitive teeth. The degree of dentine hypersensitivity was evaluated by visual analogue scale (VAS), and the treatment was carried out by application of low-power diode laser over the span of three visits, which depended on the initial sensitivity. Results: There is a significant difference in VAS values measured at the onset of treatment (baseline) and immediately after the first laser treatment (t=9.275; p=0.000), after 7 days, after the second laser treatment (14 days) (t=7.085, p=0.000), as well as after 14 days and the third laser treatment (t=5.517, p=0.000), which confirms the effectiveness of this therapeutic procedure. The results showed a reduction of hypersensitivity in response to tactile stimulus with a probe after the third treatment, even with teeth whose value on the VAS was very high at the beginning of treatment (baseline). Conclusion: Within the scope of the conducted study, laser therapy has provided extremely safe and effective results in the treatment of cervical dentine hypersensitivity.
Background: The frequency of severe chest injuries are increased. Their high morbidity is followed by systemic inflammatory response. The efficacy of pharmacological blockade of the response could prevent complications after chest injures. Aim: The aim of the study was to show an inflammatory response level, its prognostic significant and length of hospital stay after chest injures opiate analgesia treatment. Methods: Sixty patients from Department of Thoracic Surgery with severe chest injures were included in the prospective study. With respect of non opiate or opiate analgesia treatment, the patients were divided in two groups consisted of 30 patients. As a inflammatory markers, serum values of leukocytes, neutrophils, C-reactive protein (CRP) and fibrinogen in three measurements: at the time of admission, 24hours and 48 hours after admission, were followed. Results: Statistically significant differences were found between the examined groups in mean serum values of neutrophils (p=0.026 and p=0.03) in the second and the third measurement, CRP (p=0.05 and 0.25) in the second and the third measurement and leukocytes in the third measurement (p=0.016). 6 patients in group I and 3 in group II had initial stage of pneumonia, 13 patients in group I and 6 in group II had atelectasis and 7 patients from group I and 4 from group II had pleural effusion. The rate of complications was lower in group of patient who were under opiate analgesia treatment but without significant difference. The length of hospital stay for the patients in group I was 7.3±1.15 days and for the patients in group II it was 6.1±0.87 days with statistically significant difference p=0.017. Conclusion: The opiate analgesia in patients with severe chest injures reduced level of early inflammatory response, rate of intra hospital complications and length of hospital stay.
Summary With regard to the specific situation and problems in Bosnia and Herzegovina this paper will analyse the effects caused by adhering to the rules of the Washington Consensus, and thus will determine to which extent they have influenced the stability of the macroeconomic indicators in Bosnia and Herzegovina and will explain how the rules affect the stability of macroeconomic indicators of Bosnia and Herzegovina. The main thesis of the Washington Consensus is that by following the measures of the same the macroeconomic situation in the country becomes more stabilised. However, stabilization often cannot sustain in the long term and this situation in the economy can be regarded as quasi-macroeconomic stability. The application of the Washington Consensus produces a quasi-macroeconomic stability of Bosnia and Herzegovina since the high level of unemployment exists due to a low inflation. Contrary to the neoliberal Washington Consensus profile, whose main goal is the maintenance of steady conditions in budgets through fiscal stabilization policies, the paper stresses the need to solve the permanent high unemployment rate as the main macroeconomic problem Bosnia and Herzegovina’s.
Abstract Investigations of natural radioactivity in water, air, and soil are conducted frequently and routinely. Exposure to high concentrations of natural radioactive radon gas can cause irradiation of respiratory organs, which can lead to lung cancer. This paper presents measurements of radon activity concentrations in dug wells and natural springs of the Tuzla area (Bosnia and Herzegovina), which ranged from 214 to 3702 mBq L-1. Our results have shown that the radon activity concentration did not exceed the EU reference level for radon in drinking water (100 Bq L-1).
REVIEW / ACTA INFORM MED. 2016 DEC; 24(6): 422-423 HOMER R. WARNER (19222012) Homer R. Warner is one of the pioneers and fathers of medical informatics in the world (1-4). Many aspects of computer applications in medicine is well known, discovered and introduced in the mid-1950’s and late by Homer Warner. He began working on clinical decision support technology in the cardiology department at LDS Hospital. Dr. Warner and his colleagues developed the HELP (Health Evaluation through Logical Processing) system which is still in use today at Intermountain Healthcare. Homer Warner received his bachelor’s and medical degree from the University of Utah, and a doctorate degree in physiology from the University of Minnesota. Dr. Warner founded and became the first chair in the Department of Biomedical Informatics in the School of Medicine which existed under various names since 1972. Dr. Warner’s legacy of excellence and innovation has persisted and the department remains a leader in informatics research, training, and implementation Homer Richards Warner was born on April 18, 1922 and died on November 30, 2012, in Salt Lake City from complications of pancreatitis. During WWII he enlisted in the Naval Air Corps where he was trained to be a carrier-based fighter pilot. After the war he returned to the Utah where he met Katherine Ann Romney and they graduated together in 1946 and later married in the Salt Lake Temple. He graduated from the University of Utah medical school in 1949 and continued his training in Dallas, and then the University of Minnesota. He earned gis PhD in Physiology in 1953. He staretd to work at the Mayo Clinic where where he developed an equation for estimating the beat-by-beat stroke volume of the heart from the shape of the pressure wave in the aorta. His experience with Dr. Earl Wood at the Mayo Clinic was pivotal in his decision to pursue a career in medical research. After that (in 1954) Homer returned to Salt Lake City and with an American Heart research fellowship he opened the Cardiovascular Laboratory at the LDS Hospital. Within four years he published his first article about the use of computers to analyze waveforms. Homer established the Department of Biophysics and Bioengineering (later renamed Medical Informatics) at the University of Utah in 1964 and served as Chair. In the 1960’s Homer built an analog computer to represent mathematical models of the circulation. With this tool he was able to demonstrate for the first time in experiments on animals the amount of blood pumped by the heart during exercise was dependent upon the dilatation of the blood vessels in the exercising muscles. Then, with the digital computer, he developed a model of diagnostic reasoning that could diagThe Most Influential Scientists in the Development of Medical Informatics (15)
Information technologies have found their application in virtually every branch of health care. In recent years they have demonstrated their potential in the development of online library, where scientists and researchers can share their latest findings. Academia.edu, ResearchGate, Mendeley, Kudos, with the support of platform GoogleScholar, have indeed increased the visibility of scientific work of one author, and enable a much greater availability of the scientific work to the broader audience. Online libraries have allowed free access to the scientific content to the countries that could not follow the economic costs of getting access to certain scientific bases. Especially great benefit occurred in countries in transition and developing countries. Online libraries have great potential in terms of expanding knowledge, but they also present a major problem for many publishers, because their rights can be violated, which are signed by the author when publishing the paper. In the future it will lead to a major conflict of the author, the editorial board and online database, about the right to scientific content This question certainly represents one of the most pressing issues of publishing, whose future in printed form is already in the past, and the future of the online editions will be a problem of large-scale.
Professor Robert Francis Leslie Logan, known to his colleagues as Bob, was professor of Organization of Health Care System at London School of Hygiene and Tropical Medicine (LSHTM). He chaired Department of Community medicine when I studied LSHTM in 1981/1982 as postgraduate student. Professor Logan was an innovative teacher and very communicative person. Concerned that students might lack real life experience when the Masters degree was shortened from two years to one, he introduced a “fi eld service att achment” in which students addressed a practical problem in a district health authority (1). Professor Logan was born in Bangor, Northern Ireland in 1917, during the First World War. He qualifi ed in medicine from Queen’s University, Belfast, where he won several medals and prizes but still found time to gain Blues in athletics and rugby, playing for Lancashire and Ulster after the war. Wartime was service in the Royal Naval Volunteer Reserve, serving on troopships in the Atlantic and North Africa (1). After gaining his MRCP he moved into Industrial medicine and later Social medicine at the University of Manchester. At this University Logan researched occupational lung disease among mill workers and lead exposure in car batt ery factory workers. One year (1955) he spent in the US on a Rockefeller travelling fellowship. Professor Logan’s initiative brought together students from diff erent courses to work in teams to address real problems overseas, such as the health impact of a new dam. Committ ed to interdisciplinary working since his days in Liverpool, Logan appointed staff to teach a range of social sciences, providing the basis for what would become the UK’s fi rst Health Services Research Unit, and strengthened links with the London School of Economics (1, 2). For many years after he retired from LSHTM, prof Logan att ended events at LSHTM and took great interest in the careers of his students. Prof Logan was awarded the school’s honorary fellowship in its centenary year, and he was one of six most infl uential person at the LSHTM, which names are recorded on the mramor’s wall in the foyer of the School theatre, that included names of the former US president Jimmy Carter and Sir Donald Achesson, one of fathers of modern Social medicine, as academic discipline in U.K., together with prof Robert Logan. Logan’s scientifi c and academic work attracted international att ention and researchers at Johns Hopkins invited Logan to join a 12 country study, covering the Americas and Europe (1). The study revealed big diff erences in the way that healthcare was organized and resourced but there were still many gaps in understanding how this related to variations in clinical practice. This issue would be addressed in Logan’s next adventure, the European Collaborative Health Services Studies. Later,, Logan had moved to the LSHTM where recruited a group of students who, on returning to their countries, identifi ed a market town, away from the capital and served by a typical district hospital. These included Colchester in England (R. Logan, H. Sanderson, C. Sanderson, J. Carroll, etc.), Sarajevo and Mostar in Bosnia and Herzegovina, one of republics in former Yugoslavia (A.Smajkic, D. Niksic, A. Rudic, S. Muhamedagic, I. Masic, etc.), and Viana do Castello, in Portugal (J. G. Sampaio-Faria et all). For most of its existence, the study was supported by the participating hospitals. Its descriptions of how common conditions were managed provided a basis for much subsequent research. Prof Logan’s approach was extremely innovative, drawing on a wide range of disciplines, using a range of methods, and emphasizing what is now termed public and patient involvement. Robert Logan was one of a small group who changed this, pioneering comparative health services research in the late 1960s. As WHO expert of Organization of Health Care prof Logan was in great demand as an adviser to overseas governments. He was involved in the creation of new medical schools in Algeria, a programme for training hospital managers in Saudi Arabia, strategic planning in Singapore, and giving advice on health services for a new town in Iran. He made many trips to Latin America and the Caribbean and was a frequent visitor to Moscow (1).
Sarajevo, Bosnia and Herzegovina, from 2nd to 3rd December 2016, was host of one of the most exciting meetings in Mediterranean area The First Mediterranean Seminar on Science Writing, Editing & Publishing (SWEP 2016). It was organized by Academy of Medical Sciences of Bosnia and Herzegovina, running concurrent sessions as part of its Annual Meeting titled “Days of Academy of Medical Sciences of Bosnia and Herzegovina Theory and Practice in Science Communication and Scientometrics”. On the first day, twenty speakers from Croatia, Serbia, Macedonia, Albania, Bosnia & Herzegovina, Slovakia and the UK (Asim Kurjak, Milivoj Boranić, Doncho Donev, Osman Sinanović, Miro Jakovljević, Enver Zerem, Dejan Milošević, Silva Dobrić, Martin Rusnak, Srećko Gajović, Izet Mašić, Armen Yuri Gasparyan, Šekib Sokolović, Nermin Salkić, Selma Uzunović, Admir Kurtčehajić, Edin Begić and Floreta Kurti) had a range of presentations about scientific and publishing integrity, principles of scientific communication and unethical behavior in science and publishing, as well as strategic approaches and directions to prevent, detect and manage fraud and misconduct in scientific publishing. Some of speakers are also editors of journals like Medical Archives, Croatian Medical Journal, Vojnosanitetski Pregled, Psychiatria Danubina, Acta Informatica Medica, Materia Socio-Medica, The Donald School Journal of Ultrasound in Obstetrics and Gynecology, Acta Medica Saliniana, Macedonian Journal of Medical Sciences and Medicinski Glasnik. MEETING REPORT
Este artigo tem por objetivo compartilhar o trabalho realizado com bebes de 6 a 18 meses em tres creches municipais, sendo este vinculado ao subprojeto PIBID “Brincadeiras de agora, brincadeiras de outrora: as criancas e a producao das culturas infantis”. Fundamentado em Paulo Freire, em especial nos conceitos de dialogicidade e amorosidade, em uma interlocucao com outros estudos e pesquisas na area da infancia, sao apresentadas aqui algumas atividades realizadas com os bebes no intuito de instigar sua curiosidade, fantasia, imaginacao e inventividade, potencializando assim suas experiencias. Tal trabalho tem possibilitado compreender como os bebes leem e dizem o mundo. Nele verifica-se a ampliacao de espacos instigantes onde aprendem observando, tocando, cheirando, narrando suas descobertas atraves do brincar e de suas multiplas linguagens, o que tem exigido dos/as educadores/as alfabetizarem-se nestas linguagens visando a construcao de praticas dialogicas.
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