In the past few years the interest of the scientific community on lungworms of the genus Troglostrongylus has grown due to the increased number of unexpected cases of infections with Troglostrongylus brevior in domestic cats from Mediterranean Europe, likely due to a spill-over from wild reservoirs. Thus, there is a merit to increase our knowledge on the occurrence of this parasite in felids from European regions. The present paper describes lung lesions associated with T. brevior infection in the endangered Eurasian lynx (Lynx lynx) from Bosnia and Herzegovina. The carcass of an illegally killed 3-year-old male Eurasian lynx was presented for necropsy at the Faculty of Veterinary Medicine of Sarajevo (Bosnia and Herzegovina). Grossly, multiple, multinodular, consolidated and firm, tan to grey areas, occupying the caudal third of caudal lung lobes, were observed. At cut section, the catarrhal fluid was draining from the airways. Larvae of T. brevior were found in tracheal scraping. The histopathological examination revealed multifocal to coalescing areas, centered on bronchi and bronchioles, and expanded alveoli filled with necrotic debris, degenerated inflammatory cells, mostly neutrophils and macrophages, and multiple cross sections of parasite larvae and thin-walled morulated eggs of lungworms. The paraffin-embedded lung samples were molecularly positive for T. brevior. This paper describes the first record of T. brevior in the Eurasian lynx and the associated host lung pathology. Given its pathogenic potential and the lack of data on troglostrongylosis in lynx populations, the occurrence and impact of Troglostrongylus spp. on wildlife health as well as the role of L. lynx as reservoir of infection for other felids, should be further investigated.

Aim To assess awareness, knowledge, use, and attitudes toward evidence-based medicine (EBM) and The Cochrane Library (CL) among physicians from Zenica-Doboj Canton (ZDC), Bosnia and Herzegovina. Methods In this cross-sectional study, a self-administered anonymous questionnaire was sent by post to all state owned health institutions (2 hospitals and 11 Primary Health Care Institutions) in ZDC. The main outcome measures were physicians’ awareness of the Cochrane, awareness and use of CL, access to EBM databases, and access to internet at work. 358 of 559 physicians responded (63.69%). Results 23.18% of respondents stated they had access to EBM databases, but only 3.91% named the actual EBM databases they used. The question on the highest level of evidence in EBM was correctly answered by 35.7% respondents, 34.64% heard about Cochrane and 32.68% heard about CL. They obtained information about CL mostly on the internet and from colleagues, whereas the information about EBM was obtained mainly during continuous medical education. Conclusion Although the attitudes toward EBM are positive, there is a low awareness of EBM among physicians in ZDC. Open access to the CL should be used more. Educational interventions in popularizing EBM and Cochrane are needed to raise awareness both among students and practicing physicians, and finally among lay audience.

Aim: Resection surgery on the colon and rectum are changing both anatomical and physiological relations within the abdominal cavity. Delayed functions of the gastrointestinal tract, flatulence, failure of peristalsis, prolonged spasms and pain, limited postoperative recovery of these patients increase the overall cost of treatment. Early consumption of coffee instead of tea should lead to faster restoration of normal function of the colon without unwanted negative repercussions. Method: This study is designed as a prospective-retrospective clinical study and was carried out at the Surgery Center Tuzla, during the year 2013/ 2014. Sixty patients were randomized in relation to the type of resection surgery, etiology of disease-malignant benign, and in relation to whether they were coffee users or not. Patients were divided into two groups. The first group of thirty patients was given 100 ml of instant coffee divided into three portions right after removing the nasogastric tube, first postoperative day, while the second group of thirty patients got 100 ml of tea. Monitored parameter was: time of first stool and the second group of monitored parameters was: whether there was returning of nasogastric tube or not, increased use of laxatives, whether there was anastomotic leak, radiologic and clinical dehiscence, audit procedures, or lethal outcomes in the treatment of patients. Results: A total of 61 patients were randomized into two groups of 30 int he group of tea and coffee 29 in the group, two patients were excluded from the study because they did not consume coffee before surgery. Time of getting stool in the postoperative period after elective resection surgery on the colon and rectum is significantly shorter after drinking coffee for about 15h (p <0.01). Also, the length of hospital stay was significantly shorter after drinking coffee (p <0.01). Time of hospitalization in subjects/respondents coffee consumers on average lasted 8.6 days with consumers of tea for 16 days. The incidence of postoperative complications was significantly lower after consumption of coffee (p <0.05). Conclusion: Postoperative consumption of coffee is a safe and effective way to accelerate the establishment of the bowel function after colorectal resection surgery.

Introduction: Neuroprotective benefit of therapeutic hypothermia in term newborns with hypoxic-ischemic encephalopathy (HIE) was assessed by analyzing survival and neurodevelopmental outcome of neonates subjected to this procedure. Material and methods: Newborns with gestational age > 36 weeks and < 6 hours of age with moderate to severe asphyxial encephalopathy underwent cooling protocol at a temperature of 33.5 °C for 72 hours and rewarming period of 6 hours. Outcome measures assessed were death and neurodevelopmental characteristics, which were compared at the different age using ASQ-3. Twenty-five children were assessed at age 3-6, 12-18 and 24-36 months. Median gestational age was 40 weeks, birth weight 3470 g, Apgar score 2/4 and pH on admission to the hospital 7.02. Four (16%) children died. Results: At the first assessment developmental categories of communication were normal in 78.9%, problem solving in 63.2%, personal-social in 68.4%, gross motor in 68.4%, and fine motor in 42.1% with a high need of retesting in this area. Second assessment was done in 17 patients: developmental categories of communication normal in 58.8%, problem solving in 70.6%, personal-social in 64.7%, gross motor in 64.7%, and fine motor in 35.3%. Third evaluation was done in 14 patients: developmental categories of communication were normal in 64.3%, problem solving in 71.4%, personal-social in 57.1%, gross motor in 64.3%, and fine motor in 42.9%. Conclusion: There was no correlation between baseline parameters and outcome. Results of the study are showing that therapeutic hypothermia in term newborns can provide better survival and less neurologic sequels in HIE patients.

Introduction: Neuroimaging procedures and electroencephalography (EEG) are basic parts of investigation of patients with epilepsies. Aim: The aim is to try to assess relationship between bilaterally localized brain lesions found in routine management of children with newly diagnosed epilepsy and their interictal EEG findings. Patients and methods: Total amount of 68 patients filled criteria for inclusion in the study that was performed at Neuropediatrics Department, Pediatric Hospital, University Clinical Center Sarajevo, or its outpatient clinic. There were 33 girls (48,5%) and 35 boys (51,5%). Average age at diagnosis of epilepsy was 3,5 years. Results: Both neurological and neuropsychological examination in the moment of making diagnosis of epilepsy was normal in 27 (39,7%) patients, and showed some kind of delay or other neurological finding in 41 (60,3%). Brain MRI showed lesions that can be related to antenatal or perinatal events in most of the patients (ventricular dilation in 30,9%, delayed myelination and post-hypoxic changes in 27,9%). More than half of patients (55,9%) showed bilateral interictal epileptiform discharges on their EEGs, and further 14,7% had other kinds of bilateral abnormalities. Frequency of bilateral epileptic discharges showed statistically significant predominance on level of p<0,05. Cross tabulation between specific types of bilateral brain MRI lesions and EEG finding did not reveal significant type of EEG for assessed brain lesions. Conclusion: We conclude that there exists relationship between bilaterally localized brain MRI lesions and interictal bilateral epileptiform or nonspecific EEG findings in children with newly diagnosed epilepsies. These data are suggesting that in cases when they do not correlate there is a need for further investigation of seizure etiology.

Los objetivos de este estudio fueron investigar la asociacion de indice de masa corporal (IMC) con diferentes dimensiones de la percepcion de si mismo y el nivel de autoestima de las estudiantes de la Universidad de Tuzla. El estudio se realizo sobre una muestra de 120 estudiantes del primer y segundo ano en la Universidad de Tuzla y utilizo los siguientes instrumentos: Escala de Autoestima de Rosenberg (ROSF), Cuestionario PD forma A y calculo del IMC. Los resultados indicaron que el autoestima y autovaloracion, junto con una sensacion de comodidad e incomodidad afectan la experiencia de percepcion del cuerpo, sin tener relacion con el IMC. Tambien se determinaron cuales fueron variables predictoras significativas de la experiencia de percepcion corporal y el nivel de autoestima en la muestra examinada, indicando una correlacion significativa entre la autopercepcion y la sensacion de bienestar relacionadas con la imagen corporal en el autoestima de los estudiantes analizados, los cuales podrian no estar relacionados con la apariencia corporal real en terminos de reduccion o aumento de peso corporal.

Abstract The aim of the present study was to compare the aerobic and anaerobic power and capacity of elite male basketball players who played multiple positions. Fifty-five healthy players were divided into the following three different subsamples according to their positional role: guards (n = 22), forwards (n = 19) and centers (n = 14). The following three tests were applied to estimate their aerobic and anaerobic power and capacities: the countermovement jump (CMJ), a multistage shuttle run test and the Running-based Anaerobic Sprint Test (RAST). The obtained data were used to calculate the players’ aerobic and anaerobic power and capacities. To determine the possible differences between the subjects considering their different positions on the court, one-way analysis of variance (ANOVA) with the Bonferroni post-hoc test for multiple comparisons was used. The results showed that there was a significant difference between the different groups of players in eleven out of sixteen measured variables. Guards and forwards exhibited greater aerobic and relative values of anaerobic power, allowing shorter recovery times and the ability to repeat high intensity, basketball-specific activities. Centers presented greater values of absolute anaerobic power and capacities, permitting greater force production during discrete tasks. Coaches can use these data to create more individualized strength and conditioning programs for different positional roles.

Objective: This study was aimed to investigate the reliability of a computer application for assessment of the stages of cervical vertebra maturation in order to determine the stage of skeletal maturity. Material and methods: For this study, digital lateral cephalograms of 99 subjects (52 females and 47 males) were examined. The following selection criteria were used during the sample composition: age between 9 and 16 years, absence of anomalies of the vertebrae, good general health, no history of trauma at the cervical region. Subjects with lateral cephalograms of low quality were excluded from the study. For the purpose of this study a computer application Cephalometar HF V1 was developed. This application was used to mark the contours of the second, third and fourth cervical vertebrae on the digital lateral cephalograms, which enabled a computer to determine the stage of cervical vertebral maturation. The assessment of the stages of cervical vertebral maturation was carried out by an experienced orthodontist. The assessment was conducted according to the principles of the method proposed by authors Hassel and Farman. The degree of the agreement between the computer application and the researcher was analyzed using by statistical Cohen Kappa test. Results: The results of this study showed the agreement between the computer assessment and the researcher assessment of the cervical vertebral maturation stages, where the value of the Cohen Kappa coefficient was 0.985. Conclusion: The computer application Cephalometar HF V1 proved to be a reliable method for assessing the stages of cervical vertebral maturation. This program could help the orthodontists to identify the stage of cervical vertebral maturation when planning the orthodontic treatment for the patients with skeletal disharmonies.

UDK: 547.56:582.711.714           582.711.714:581.45/.47 Phenolic contents of methanolic extracts prepared from leaves and fruits of Crataegus monogyna Jacq. and Crataegus macrocarpa Hegetschw. were determined. The antioxidant capacity was assessed by DPPH, ABTS and FRAP assay. The results showed that leaves were richer in the content of phenols (59.23 - 91.91 GAE g-1), flavonoids (2.38 - 4.08 mg QE g-1 and 5.24 - 8.9 mg RE g-1) , phenolic acids (33.40 - 68.98 CAE g-1) and proanthocyanidins (26.15 - 48.60 CE g-1) while in fruits anthocyanins dominateted (0.43 - 0.80 CG g-1). Leaves also had higher antioxidant capacity than fruits for both species. Generelly, C. monogyna fruits had higher content of anthocyanins. Total phenols, phenolic acids and proanthocyanidins were highly corelated with DPPH (r2 = 0.8703 - 0.9618), ABTS (r2 = 0.7833 - 0.9443) and FRAP (r2 = 0.903 - 0.9695) assay. The results suggests that these compounds were the major contributors to the antioxidant capacity in leaves and fruits extracts of both species. Higher contents of bioactive compounds and higher antioxidant capacity were determined for C. x macrocarpa samples. Therefore, C. x macrocarpa leaves and fruits are valuble source of antioxidant polyphenols with high potential for use in preparation of different natural health products.

WILLIAM ABBOTT (1931–2011) William ‘Bud’ Abbott (1931-2011) was one of the pioneers of Health informatics in the United Kingdom and Europe. Abbott was one of the first generation of health informaticians in Europe. He and his colleagues at the time probably would not have used the term Health/Medical Informatics, because that term first used by Peter Leo Reichertz in Hannover in 1973. Abbott’s death brings to an end an era of health informatics that started operationally in the mid-1960s. In 1948, William Abbott joined The London hospital, became involved in the use of machine accounting and explored the use of computing towards the end of the 1950’s. He was instrumental in the development of hospital computing, and played a leading role in both global activities through the International Medical Informatics Association and closer to home with the establishment of the ‘Current Perspectives’ in Health Computing conference and exhibition in 1984 which became the ‘HC’ event which still runs today. By the early 1970s, Bud was already ‘Mr-NHS Computing’ and led many of the British Computer Society Health Informatics Specialist Groups delegations to European and world events. He encouraged work and mobilized peers and novices to work together through the professional society. He had a knack of facilitating and fixing whilst also being a consummate diplomat. During organization of IMIA MEDINFO Conference in London in 2001, he was included there, playing a vital ‘political’ role in the Local Organizing Committee. He continued to guide health informatics even when operationally retired, frequently appearing in Harrogate at HC congresses and always willing to chair sessions, sometimes at very short notice! He was a mentor to many, especially in the UK and Europe, over the years. His professional legacy will be both the iconic London Hospital System and the position of UK health informatics world-wide.