The aim of this study was to analyze one year outcome of the acute stroke patients with sleep apnea in order to gender and age. Methods: It was analyzed 110 patients with acute stroke and sleep apnea. Among them 65(59%) were men. Average age of all participant was 65.13±9.27 years. The same number and gender distribution of participants with stroke and without apnea were in control group. Evaluation of sleep apnea has been done with: “The Sleep Disorders Questionnaire”, “Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome” and “The Epworth Sleepiness Scale”. Results: One year after stroke onset survived 91 (82.7%) out of 110 patients with apnea. Average age of survived patients was 63.66±8.78 years. Among them 52(80%) were men. In control group, without apnea survived 104 (94.5%) patients with average age of 65.00±8.62 years. Among them 62 (95.4%) were men. In men with apnea there is significantly lower survival range in order to patients without apnea (X2=8.22, p=0.004). In women there is no difference. Survival of both gender in patients with apnea (22; 64.7%) was the lowest in group older than 70 years of age. Sex ratio (men : women) was 15 (68.2%):7(58.3%). Survival in both gender in patients without apnea was the same in group older than 70 years of age: 27 (81.2%) out of 33. Average age of patients who died with apnea was significantly higher in order to patients without (t=1.97, p=0.03). Conclusion: One year after stroke, significantly more patients survived without (94.5%) than with apnea (82.7%) (p=0.01). In order to sex survived range was significantly (p=0.004) lover in men with apnea than without but in women there is no difference. Survival range of both gender in patients with apnea was the lowest in group older than 70 years (p=0.03).

Introduction: Inferior oblique overaction (IOOA) can be primary or secondary, isolated or combined to other types of horizontal deviation, mostly with esotropias. Surgical weakening of IOOA means several techniques like; recession, myotomy, myectomy, anteroposition etc. Goals: we analyzed the effect of inferior oblique muscle surgical weakening comparing two groups of patients with primary hypertropia. Material and methods: In 5-years retrospective study, we observed 33 patients on which we did the surgical procedure of weakening inferior muscle overaction by two methods; recession and myotomy. Results: In total number of 33 patients, there were 57,6% male and 42,4% female patients with average age of 10,6±7,5 (in range of 4–36). There was 33,3% of isolated primary hypertropias, and 66,7% combined with esotropias. At 23 (69,9%) patients the recession surgical procedure was done, and with 10 (30,1%) myotomy. Better effect and binocularity was in 65,2% of patients in recession group which was statistically significant with significance level of p<0,0, χ2=5,705; p=0,021. Conclusion: Comparing of two surgical procedures of weakening inferior oblique muscles overaction, recession is better procedure than myotomy.

Introduction: Hyperglycemia is a common complication of critical illness. Patients in intensive care unit with stress hyperglycemia have significantly higher mortality (31%) compared to patients with previously confirmed diabetes (10%) or normoglycemia (11.3%). Stress hyperglycemia is associated with increased risk of critical illness polyneuropathy (CIP) and prolonged mechanical ventilation. Intensive monitoring and insulin therapy according to the protocol are an important part of the treatment of critically ill patients. Objective: To evaluate the incidence of stress hyperglycemia, complications and outcome in critically ill patients in our Medical intensive care unit. Materials and methods: This study included 100 patients hospitalized in Medical intensive care unit during the period January 2014–March 2015 which were divided into three groups: Diabetes mellitus, stress-hyperglycemia and normoglycemia. During the retrospective-prospective observational clinical investigation the following data was obtained: age, gender, SAPS, admission diagnosis, average daily blood glucose, highest blood glucose level, glycemic variability, vasopressor and corticosteroid therapy, days on mechanical ventilation, total days of hospitalization in Medical intensive care unit, and outcome. Results: Patients with DM treated with a continuous insulin infusion did not have significantly more complications than patients with normoglycemia, unlike patients with stress hyperglycemia, which had more severe prognosis. There was a significant difference between the maximum level of blood glucose in recovered and patients with adverse outcome (p = 0.0277). Glycemic variability (difference between max. and min. blood glucose) was the strongest predictor of adverse outcome. The difference in glycemic variability between the stress-hyperglycemia and normoglycemic group was statistically significant (p = 0.0066). There was no statistically significant difference in duration of mechanical ventilation and total days of hospitalization in the intensive care unit between the groups. Conclusion: Understanding of the objectives of glucose regulation and effective glycemic control is essential for the proper optimization of patient outcomes.

Ethnicity and religion are known to be important factors associated with substance use and misuse (SUM). Ethnic Bosniaks, Muslims by religion, are the third largest ethnic group in the territory of the former Yugoslavia, but no study has examined SUM patterns among them. The aim of this study was to explore the prevalence of SUM and to examine scholastic-, familial- and sport-factors associated with SUM in adolescent Bosniaks from Bosnia-and-Herzegovina. The sample comprised 970 17-to-18-year-old adolescents (48% boys). Testing was performed using an previously validated questionnaire investigating socio-demographic-factors, scholastic-variables, and sport-factors, cigarette smoking, alcohol drinking, simultaneous smoking and drinking (multiple SUM), and the consumption of other drugs. The 30% of boys and 32% of girls smoke (OR = 1.13; 95% CI = 0.86–1.49), 41% of boys and 27% of girls are defined as harmful alcohol drinkers (OR = 1.94; 95% CI = 1.48–2.54), multiple SUM is prevalent in 17% of boys and 15% of girls (OR = 1.11; 95% CI = 0.79–1.56), while the consumption of other drugs, including sedatives, is higher in girls (6% and 15% for boys and girls, respectively; OR = 2.98; 95% CI = 1.89–4.70). Scholastic achievement is negatively associated with SUM. SUM is more prevalent in those girls who report higher income, and boys who report a worse familial financial situation. The study revealed more negative than positive associations between sport participation and SUM, especially among girls. Results can help public health authorities to develop more effective prevention campaign against SUM in adolescence.

Introduction: Androgenic-anabolic steroids are rarely used by sportsmen who want to improve physical performance in competition sport. Despite that they are well aware of the side effects of anabolic steroids, many young athletes in Bosnia and Herzegovina without competition motivation come in temptation, trying to achieve better muscle proportion and physical performance unknowing consequence of side effects and what is hiding behind. Risk factors such as increasing of lipid levels and arterial hypertension are major factors which have important role in the Pathogenesis of atherosclerosis and are responsible for occurrence of cardiovascular disease even causing a sudden death in young athletes. Objective: The aim of the study was to estimate the frequency of misusing of androgenic anabolic steroid drugs in young recreational sportsmen without competition motivation. This study will try to estimate vascular and lipid status, analyzing the side effects of steroids in young recreational athletes under the age of 35, in Bosnia and Herzegovina. Methods: The study included 70 individuals in period of 2010 till 2015 on recreational exercising program; 35 individuals misusing androgenic anabolic steroids during the period of 5 years were compared with 35 individuals which do not use androgenic anabolic steroids. Non-invasive methods were used in all individual (clinical examination and vascular ultrasound examination of vein system). The routine of training units in both groups was approximately two hours 4-6 times per week. Results: Final analysis has reveal that in androgenic anabolic steroids group in 18 individuals or 55.7% arterial hypertension with hyperlipidemia was more represented, compared with the group without using anabolic steroids, represented by 2 individuals or 5.7% and it was statistically considered significant by using p value less than 0.05. (p<0.05). Statistically dominant population using anabolic steroids drugs are males (100%) or 35 individuals; we did not find females using anabolic steroids and that is why our research was limited to male population. Conclusion: Recreational male sportsmen are dominant androgenic anabolic steroids misusers, trying to achieve better muscle proportion and physical performance, they neglect the anabolic steroids side effects which have devastating consequence on vascular system. Benefits of misusing drugs in recreational exercising program in young sportsmen are mostly connected with development of arterial hypertension and hyperlipidemia and the variety of serious health disorders, progressing the pathogenesis of cardiovascular disease.

SUMMARY Introduction Malocclusion is common in children and it has great influence on the quality of life of patients. The aim of this study was to determine the prevalence of malocclusion among 11-13 years old children in the municipality of Foca in Republika Srpska. Material and Methods The study included 81 respondents, 11-13 years old. It was conducted in elementary schools in the municipality of Foča. Respondents underwent clinical examination, alginate impressions of upper and lower jaws were taken and study models analyzed. To determine malocclusion (crowding, spacing, cross bite, deep bite, open bite and occlusion class as per Angle) ICON index (Index of Complexity, Outcome and Need) was used. Results The results showed that 17.3% of respondents had spacing between teeth, 80.2% crowding, 23.4% cross bite, 29.6% deep bite while open bite was present in 2.4% of patients. Occlusion II/1 class by Angle was present in 38.3% of respondents, II/2 class in 12.3% of respondents, Class I occlusion in 40.7% of respondents and III class was found in 2.4% of respondents. Conclusion There was high prevalence of malocclusion in the examined children. It is necessary to implement prevention programs, early treatment of dental caries, prevent premature tooth loss as well as measures of interceptive orthodontics in order to reduce frequency of malocclusion KRATAK SADRŽAJ Uvod Ortodontske nepravilnosti su različito, ali dosta često, zastupljene kod dece i u velikoj meri utiču na kvalitet života pacijenata. Cilj ovog rada je bio da se odredi učestalost ortodontskih nepravilnosti kod dece uzrasta 11-13 godina na području opštine Foča u Republici Srpskoj. Materijal i metode rada U studiji je učestvovao 81 ispitanik uzrasta od 11 do 13 godina. Studija je obavljena u osnovnim školama na teritoriji opštine Foča. Ispitanicima je urađen klinički pregled, uzeti su otisci zuba u alginatu, napravljeni i analizirani studijski modeli. U određivanju ortodontskih nepravilnosti (teskoba, rastresitost, ukršten zagrižaj, dubok zagrižaj, otvoren zagrižaj i okluzija po Englu) korišćen je indeks ICON (engl. index of complexity, outcome and need). Rezultati Rastresitost zuba je ustanovljena kod 17,3% ispitanika, teskoba zuba kod 80,2% dece, ukršten zagrižaj kod 23,4%, dubok zagrižaj kod 29,6%, dok je otvoren zagrižaj zabeležen kod 2,4% ispitanika. Okluzija klase II/1 po Englu utvrđena je kod 38,3% ispitanika, klase II/2 kod 12,3%, klase I kod 40,7%, a klase III kod 2,4% dece. Zaključak Uočena je visoka prevalencija ortodontskih nepravilnosti kod pregledane dece. Ovakav nalaz ukazuje na neophodnost primene preventivnih programa, ranu terapiju karijesa, sprečavanje prevremenog gubitka zuba i mere interceptivne ortodoncije, kako bi se smanjila učestalost ortodontskih nepravilnosti.

This paper presents the application of life cycle assessment (LCA) modelling used in the process of comparing the best technology for disposal municipal solid waste (MSW) in the Banjaluka region. Three scenarios were considered: unsanitary landfill, sanitary landfill with gas collection and burning on flare and sanitary landfill with energy recovery. The Banjaluka landfill is currently an unsanitary landfill because a system for collecting and treating gas has not yet been implemented. The environmental impact from the current waste management system is dominated by the landfill, which has no gas collection. The construction of the gas collecting system with flare is planned for 2015 (70% efficiency, during 30 year period) which will make the Banjaluka landfill a sanitary landfill. The long-term plan encompasses using the landfill gas for heat generation (39% efficiency) and electric energy (19% efficiency), as well as improvement of leachate collection system (from present 60% to 80%) and gas collection (from present 70% to 85%). Landfill with energy recovery leads to saved emission and avoided impact potential in several environmental categories. A sensitivity analysis is applied to the sanitary landfill with gas collection and burning on flare. The results of sensitivity analysis for sanitary landfill with flare indicate that the overall environmental impact is sensitive to the gas collection efficiency, bulk density and period of gas collection.

UDK: 630*52:630*24(234.422 Igman) This paper analyses the dynamics of diameter structure and height curves as the main indicators of a simple stand structure, uneven-aged multi-storied fir and spruce stands in the management unit „Igman“ where selective felling is applied based on the principle of positive selection. The data for analysis was collected by periodical measurement during fifty years on two permanent sample plots, forest sections 43 and 58. It has been determined that during the observation period there had been a change in diameter structure in the sense of increase in the proportion of trees in the lower, and decrease in higher diameter classes as well as the increase of tree height in the complete interval of empirical data. It has been concluded that due to selective felling, with higher diameter classes trees included, conditions have been created for the occurrence of new and the development of the existing young crop; diameter structures of a shape characteristic for even-aged stands have gradually assumed the shape characteristic for selective stands. Thus, due to the increase of competition among the trees of lower diameter classes and the felling of lower height and lower quality trees of higher diameter classes, there has been an increase in the height of trees of the same diameter.