Introduction: Timely diagnosis is a prerequisite for the successful treatment of malignant skin tumors. Late diagnosis leads a patient into a situation of losing valuable time and chance for cure. Material and methods: A prospective study was conducted from February 2006 until August 2011 which analyzed the reasons that led to establishing the diagnosis of malignant skin tumors in 220 patients. Patients were divided into two groups: Group A (102 patients), patients with diagnosed melanoma, and group B (118 patients) of patients suffering from basocellular (BCC) and planocellular cell (PCC) skin cancer. Parameters for comparison of analysis results were the reasons for coming to examination and reasons for not coming to the examination, because of which skin cancers were not diagnosed in time. Goal: To determine the factors that influences the establishment of late diagnosis and treatment of skin tumors. Results: It was confirmed that the prejudices of patients that tumors of the skin „should not be operated because it is dangerous“ is the main reason for late diagnosis. At the same time it is confirmed that the belief that it is unnecessary to operate congenital changes of the skin is the second most important reason for delayed diagnosis of malignant skin tumors.

Goal: To investigate the correlation between TSH and HbA1c in the treatment of L-thyroxine in the process of glycemic control in patients with subclinical hypothyroidism. Patients and methods: The sample consisted of 100 patients, mean age 51.75±3.23 years, BMI=27.97±4.52 kg/m2, with SH (TSH>4.2 mU/L and normal serum T3 and T4). Laboratory diagnosis included the determination of free T3, free T4, thyroid antibodies, Tg, insulin, C-peptide and glucose during the OGTT, HbA1c, CRP and lipid levels. 20 patients with SH had prediabetes and 38 patients had DM. All patients were treated with low doses of L-thyroxine (25-50ug) and all were physically active. Results: After 6 months of treatment with L-thyroxine, the patients had normal or decreased TSH (5.85±0.92 vs. 3.54±0.55 mU/L), insulin levels (114.64±24.11 vs. 96.44±17.26 pmol/L) significantly reduced HbA1c (6.74±1.01 vs. 6.26±1.12) is reduced. Conclusion: The correlation between TSH and HbA1c was positive and significant (r=0.46). This indicates a significant effect of treatment with L-thyroxine on glycemic control in patients with subclinical hypothyroidism.

This paper presents the findings of research into cofiring two Bosnian cola types, brown coal and lignite, with woody biomass, in this case spruce sawdust. The aim of the research was to find the optimal blend of coal and sawdust that may be substituted for 100% coal in large coal-fired power stations in Bosnia and Herzegovina. Two groups of experimental tests were performed in this study: laboratory testing of co-firing and trial runs on a large-scale plant based on the laboratory research results. A laboratory experiment was carried out in an electrically heated and entrained pulverized-fuel flow furnace. Coal-sawdust blends of 93:7% by weight and 80:20% by weight were tested. Co-firing trials were conducted over a range of the following process variables: process temperature, excess air ratio and air distribution. Neither of the two coal-sawdust blends used produced any significant ash-related problems provided the blend volume was 7% by weight sawdust and the process temperature did not exceed 1250oC. It was observed that in addition to the nitrogen content in the co-fired blend, the volatile content and particle size distribution of the mixture also influenced the level of NOx emissions. The brown coal-sawdust blend generated a further reduction of SO2 due to the higher sulphur capture rate than for coal alone. Based on and following the laboratory research findings, a trial run was carried out in a large-scale utility - the Kakanj power station, Unit 5 (110 MWe), using two mixtures; one in which 5%/wt and one in which 7%/wt of brown coal was replaced with sawdust. Compared to a reference firing process with 100% coal, these co-firing trials produced a more intensive redistribution of the alkaline components in the slag in the melting chamber, with a consequential beneficial effect on the deposition of ash on the superheater surfaces of the boiler. The outcome of the tests confirms the feasibility of using 7%wt of sawdust in combination with coal without risk to the efficiency of the unit, its combustion process and with the benefits of emissions reductions. Furthermore, they show that no modification to the existing coal transport system and boiler equipment is necessary to achieve this outcome.