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Introduction: Acinetobacter baumannii is a frequent cause of infections in hospitals around the world, which is very difficult to control and treat. It is particularly prevalent in intensive care wards. Aim: The main objective of the research was to establish the application of epidemiological monitoring of nosocomial infections (NIs) caused by A. baumannii in order to determine: the type and distribution of NIs, and to investigate antimicrobial drug resistance of A. baumannii. Material and Methods: 855 patients treated at the Clinic of Anesthesiology and Reanimation, University Clinical Center Tuzla during 2013 were followed prospectively for the development of NIs. Infections caused by A. baumannii were characterized by the anatomical site and antibiotics resistance profile. Results: NIs were registered in 105 patients (12.3%; 855/105). The predominant cause of infection was A. baumannii with an incidence of 51.4% (54/105), followed by ESBL-producing Klebsiella pneumoniae with 15.2% (16/105) of cases, methicillin-resistant Staphylococcus aureus with 8.6% (9/105), and ESBL-producing Proteus mirabilis with 7.6% (8/105). According to the anatomical site, and type of NIs caused by A. baumannii, the most frequent were respiratory infections (74.1%; 40/54). Infections of surgical sites were registered in 11.1% (6/54) of cases, while bloodstream infections in 9.2% (5/54). A. baumannii isolates tested resistant against most antibiotics examined, but showed a high degree of susceptibility to tobramycin (87%; 47/54) and colistin (100%; 54/54). Conclusion: The increasing incidence of multi- and extensively drug-resistant Acinetobacter spp. emphasizes the importance of administration of an adequate antibiotic strategy and the implementation of strict monitoring of the measures for controlling nosocomial infections.

Goal: The goal of the article is to examine level of hemodynamic improvement in the peripheral artery diseases of lower limbs among patients on medication therapy and patients included in programmed physical activities simultaneously with the medication therapy. Material and methods: Prospective-retrospective study includes 100 patients of the Clinic for Vascular Disease, Clinical Center of Sarjevo University (CCUS). It has been found out that the majority of patients in both groups were males. Average age of patients in control group was 48.60±3.82. Average value of claudication distance for patients in control group was 277 m, while the value for patients in test group was 270 m. Results: At the end of research the analysis of average PSV values proved significant difference in relation to examined groups (p<0.05). Average PSV value statistically significantly decreased in both groups after the treatment. According to the obtained results it was determined that the claudication distance of control group was statistically considerably smaller in comparison to the average claudication distance in the test group. Conclusion: It was established that the chance for the patients to have claudication distance within reference values is 2.57 times higher in the test group in comparison with the patients in the control group after the treatment.

UDK: 547.56:582.711.714           582.711.714:581.47 The aim of this work was to determine the content of total polyphenols, total flavonoids, total monomeric anthocyanins, total proanthocyanidins, and antioxidant activity of Crataegus monogyna L. fruit in water, hydroalcohol and alcohol extracts. Phenolic content and antioxidant assay of the different fruit extracts was determined using spectrophotometric methods. Obtained results indicated that the content of total polyphenols in the investigated extracts varied from 2.01 to 4.60 mg GAE g-1 of fresh hawthorn fruit. The content of flavonoids ranged from 0.254 to 0.595 mg RUE g-1 fresh fruit extracts. Total monomeric anthocyanins varied from 0.004 to 0.132 mg cyanidin-3-glucoside g-1 of fresh fruit and total proanthocyanidins varied from 0.187 to 1.168 mg cyanidin chloride g-1 fresh fruit. The best antioxidant activity was obtained for hawthorn extract with 80% methanol. A good correlation between antioxidant activity and total polyphenols (R² = 0.9473) and proanthocyanidins (R² = 0.7469) was observed.

The aim of this study was to examine the relationships among physical fitness of professional Bosnianbasketball players (n = 38) and shooting accuracy during one basketball season. A related, secon ...

1. 12. 2014.
2
D. Paget, Floris Barnhoom, I. Masic

EUPHA unique value EUPHA has a unique position in the field of public health in Europe. It is the largest network of public health professionals and covers nearly all countries of Europe, as defined by the WHO Regional Office for Europe. EUPHA has an excellent reputation of being a strong, independent and broad sciencebased network. EUPHA has the obligation to use this unique position to the fullest extent and this second EUPHA strategy for the period 2014-2020 aims to do just that by combining support to our members with representation of our members at European and global level. (1)

Introduction: Pedobarography as a new diagnostic tool enables measuring the pressure between the foot and the floor during dynamic loading. Dynamic analysis of the foot shows advantage over static analysis due to its capabilities for detecting high load points in certain diseases and in certain phases of walking. Pedobarography as a new method in the context of rehabilitation include wide range of clinical entities. Goal: To show the advantages of pedobarography as new diagnostic and rehabilitation method in prevention programs. Material and methods: A prospective study included 100 patients with diabetes mellitus type 2. Research was conducted in the Primary Health Care Center of the Sarajevo Canton and the Center for Physical Medicine and Rehabilitation. The test parameters were: Test of balance–symmetric load for the test, the number of comorbidity, clinical examination of foot deformity, test with 10 g monofilament, HbA1c. From the total sample 45 patients (Group I) were selected, aged 50-65 years, which underwent pedobarography (on the appliance Novel Inc., Munich with EMED™ platform) and robotic fabrication of individual orthopedic insoles, followed by control pedobarography. Plantar pressure was determined using standard pedobarography, computer recorded parameters: peak pressure (kPa), force (Ns), area (cm). Results: The average age of the respondents was 59.4±11.38 years; altered results on the balance test were present in 34% of patients; 61% of respondents have ≤2 comorbidity. In the total sample, the average number of foot deformity was 2.84. Flat feet have 66% of respondents, and valgus position 57%. The average HbA1c values were 7.783±1.58% (min.5–max.15.0). All subjects (45) after the first, and after the second measurement of peak pressure, have values above 200 kPa, or are in the designated zone of peak pressure that needs to be corrected. In a study was determined the correlation between the number of deformities and peak pressure, the number of deformities and the area upon which plantar pressure act, test with 10g monofilament and peak pressure. Conclusion: Within the framework of prevention programs early diagnosis, detection of sensitivity disorders, adequate treatment and taking load from the feet with the help of pedobarography, are of great importance for the patient suffering from diabetes

Family Medicine as an independent medical discipline is relatively young in the countries of Southeast Europe. Still are used the old models of all forms of education in this module, although most countries accepted Bologna undergraduate teaching concept and already implement it with greater or lesser success. Measuring the effects of the qualities of these concepts and models is not done systematically nor in uniform manner, so it could not be compared by the unique variables measuring the quality of education curricula, and especially the quality of education level of the graduates at the first, second and third degree courses and other forms of education. This paper provides a comparative overview of the state of education in the area of family medicine in the region. It creates comparison according to the study duration for undergraduate and postgraduate studies, doctoral studies and specialized studies in specified areas. What stand out are the proposals to improve education in the field of family medicine in the region.

Peter Leo Reichertz (1930 - 1987) was a physician and uni-versity professor in the fi eld of medical computer science.He studied physics, mathematics and medicine at the dif-ferent universities throughout the Europe, in universities of Gottingen, Koln, Geneva, Munich and Bonn. During that period he persuaded PhD and directed himself toward in-ternal medicine. His main scientifi c activity in this period was in the fi eld of cardiology.The experiences in practice and the emerging possibili-ties of data processing have convinced him of the importance of computer science in medicine and made him a pioneer of medical computer science. His path led him in time from 1966 to 1969 to USA at the University of Texas and the University of Missouri. There Reichertz Peter led the radiological com-puter research was responsible in a project to create a medical information system in the hospital worked and was director of a general university computer center.In 1969 he returned to Germany and took over the Depart-ment of Medical computer science at the Medical School of Hannover, which he designed from the ground up. From that Hannover was one of the centers of medical computer sci-ence, nationally and internationally.Peter Reichertz ambition was to reject the medical com-puter science closely to the core computer science and to create an understanding of the problems and possibilities of each other’s discipline and bring a discussion. The means to do so were joint meetings with the Society for computer science and GMDS to an Advanced Course in Medical Informatics. The external sign is that of him initiated certifi cate ‘Medical Informatics’, which is awarded jointly by the GMDS and GI. From 1975 to 1988 he was also a lecturer at the Technical University of Braunschweig.He was 1976/1977 President of the GMDS, co-founder of the IMIA (International Med-ical Informatics Association) and EFMI (European Federa-tion for Medical Informatics), as its fi rst president. His work on the international level, the term ‘Medical Informatics’ and its contents signifi cantly aff ected.In his honour, Peter L. Reichertz Instituts fur Med-izinische Informatik was formed in 2007. It was founded by the Technical University Carolo-Wilhelmina on two locations, in Braunschweig and Hannover. Founding goal was the formation of a regional cluster of excellence.Interesting facts!• He spoke English as his second mother tongue, French and Japanese.• He held a pilot licence for passenger transport.• He initiated the use of term „ medical informatics“.

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