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OBJECTIVE Endocarditis can have profound and devastating neurological consequences, with the vast majority of these complications in patients with left-sided valvular disease. The approach to the acute management of stroke in children with infective endocarditis is limited by the inadequacy of published data on their clinical course and outcome. CASE REPORT This case report presents a 12 year old girl with diagnosed endocarditis, complicated with intracranial hemorrhage, due to the rupture of an aneurysm of the peripheral branch medial cerebral artery and gradient therapeutic approach, with an excellent final result. CONCLUSION Congestive heart failure resulting from valvular insufficiency required mitral valve replacement, after cerebral aneurysm clipping.

Meliha Halilbašić, F. Skokić, Vahid Jusufović, Zlatko Mušanović, Amir Halilbašić

Background: Ophthalmia neonatorum (ON) is an inflammation of the conjunctiva, manifested in the neonatal period. The most common factors contributing to the occurrence of ON are pathogens that are transmitted from mother to newborn through the birth canal, maternal infection during pregnancy, inadequate ocular prophylaxis, susceptibility to infection of the newborn eye and ocular trauma during labour. Aim: The aim of this study was to examine obstetric risk factors for developing ON. Methods: The study was prospective and included all newborns of gestational age of 24 to 42 weeks, both genders, born in the period from 1 October 2011 to 1 October 2012 at the University Clinical Centre Tuzla, with signs of ON. The obstetric risk factors affecting the occurrence of ON were analyzed. Results: During the study period 206 newborns out of 4180 developed ON, with an incidence of 4.93%. The most important risk factors for ON during pregnancy and labour were colpitis (p 18 hours (p 18 hours, mother’s comorbidity and Apgar score at 5 minutes <7. Newborns of mothers with the mentioned risks require a somewhat different prophylaxis and should be closely monitored during the first month of life.

Background Many studies throughout the world show that hypertension is not effectively treated and controlled, which continued to pose an important challenge in health systems in the world. Design and methods Population surveys were carried out in 2002 and 2012 in the Federation of Bosnia and Herzegovina (FBIH) on representative sample at the age of 25-64. The surveys used systematic stratified sample. Questionnaires and anthropometric measure protocols were adapted from internationally recommended surveys. Results In the past ten years there has been a slight increase in hypertension prevalence in researched population (41% vs. 42%). Percentage of hypertensive male and female respondents who are not aware of their hypertension actually dropped in the past decade from 54.3% to 51.4%. In 2002 total number of hypertensive respondents aware of their hypertension included 8.1% of male respondents and 10.3% female respondents whose condition was not treated and this rate effectively dropped during the 10-year period. Number of hypertensive, treated, and uncontrolled respondents dropped as reported in the 2012 survey; consequently percentage of hypertensive, treated, and controlled respondents in the 2012 survey increased, in particular in female population. Conclusions Investments in primary health care, improved availability, and improved quality of health care in the FBIH in the past 10 years can explain increased rate of hypertension detection and treatment; however, efforts should be continued to introduce hypertension screening programs and hypertension control programs. Significance for public health In spite of wide knowledge of pathophysiology and epidemiology in development of hypertension, ability to easily diagnose it, availability of efficient medications, hypertension continues to have high prevalence and setting up hypertension controls poses significant public health challenge. Recently conducted cross-sectional population surveys in the Federation of Bosnia and Herzegovina give us opportunity to follow the trend for hypertension and implement public health measures to reduce or eliminate causes of high blood pressure in population and at the same time with implementation of medical treatment.

Milana Katanić, Miroslav Smajić, A. Kapidžić, Branka Protić-Gava, K. Boskovic

<p>Importance of physical education and its placment in the educational system are known for a<br />long period of time. Many resreaches have been conducted in order to determine the extent to<br />which physical education positively influences students. Results of some studies show that<br />physical education classes are unsatisfactory and inappropriate, given the circumstances- age<br />and individual skills of students, their needs and interests (Arunovic, 1978; Visnjic, 1983;<br />Krsmanovic, 1988, 1995). Main reasons for ineficinet physical education classes can be found<br />in the bad concept of modelling teaching syllabuses and small number of physical education<br />classes per week (Krsmanovic, 1995). The aim of the study is determining differences<br />between examinees in terms of motor skills, depending on material and technical conditions<br />as well as method of class organisation that is realization of the curriculum. The participants<br />in the study were 142 adolescents, 17 years of age (&plusmn; 6 months ). In order to assess motor<br />skills 12 motor tests were used. Data processing was done by applying multivariate analysis<br />of covariance (MANCOVA), significance of difference was determined by analysis of<br />variance (ANOVA), while differences among examinees of the experimental and the control<br />group were determined by discriminant analysis. After the experimental treatment, it was<br />determined that there was statistically significant difference between the experimental and the<br />control group within the motor skills system.&nbsp;</p>

Dragan Nonic, M. Avdibegović, J. Nedeljković, N. Ranković, V. Marinescu, F. Ioraș

In Serbia, as in other European countries, small and medium enterprises are recognized as a pillar of economic development. At the same time, a clear need for support to those enterprises and entrepreneurship, both in urban and rural areas, is emphasized in national strategic documents. In forestry, small and medium enterprises are of special importance for sector development. However, in Serbia, there is a lack of knowledge about them, and particularly about small and medium enterprises whose business is based on non-wood forest products. Bearing in mind the importance of these enterprises for development of private forestry sector and rural areas, research aiming to determine their characteristics and types is needed. Door-to-door survey was conducted with 91 representatives of non-wood forest products based small and medium enterprises in Central Serbia. Results of cluster analysis showed there were three types of non-wood forest products based small and medium enterprises, in regard to their characteristics. The same number of types was distinguished, in regard to business activities. Results of this research can be used for further detailed study on types of forest-based small and medium enterprises and as a basis for formulation of support measures and, thus, improvement of the entrepreneurship in non-wood forest products sector in Serbia.

M. Đekić, A. S. Fetić, D. Dominko, D. Starešinić, K. Biljaković

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