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T. Popović, L. Amidžić, Mile Čeko, S. Markovic, R. Škrbić

Background/Aim: Sulphur mineral water is widely used in the treatment of musculoskeletal diseases. Hydrogen sulphide is an important regulator of bone metabolism and its application in the treatment of osteoporosis is intensively researched. The aim of this study was to analyse biochemical and histological effects of H2S containing mineral water of "Mlječanica" spring on ovariectomy-induced experimental osteoporosis in rats. Methods: In this experiment a 14-week-old Wistar female rats were used. The animals undergone bilateral ovariectomy (OVX groups) as an experimental model for oestrogen-deficient osteoporosis. After six weeks, animals were divided into control and the experimental group. Rats from the experimental group treated with H2S (SW group) containing mineral water ad libitum during five weeks. Biochemical parameters for monitoring sulphur water effects were concentration in serum of osteocalcin, alkaline phosphatase, calcium and phosphorus. Histological analyses of the left tibia coloured with haematoxylin-eosin were carried out. Results: Regarding the biochemical parameters, a statistically significant increase was observed in the OVX group for osteocalcin, alkaline phosphatase calcium and phosphorus compared to the sham-operated (CNT) group (p < 0.01). In SW + OVX, alkaline phosphatase was statistically significantly decreased (p < 0.01) and serum osteocalcin and phosphorus increased (p < 0.01). Calcium values were increased without significance. In the OVX + SW group, histological analyses showed numerous osteoblasts along the trabecular endosteum and the growth of young chondrocytes in the central bone zone and their migration to the peripheral parts. Conclusion: Drinking the H2S containing "Mlječanica" mineral water has led to decreased alkaline phosphatase, increased osteocalcin and phosphorus concentration in serum and stimulated the bone reparation in osteoporotic rats.

Nenad Rađević, Darko Paspalj, Lazar Vulin, Saša Kovačević

The research sample consisted of 43 first-year male students at the Faculty of Security Studies Banja Luka. This study was conducted to with the aim of determining the relationship between student self-assessment of motor skill performance and the results of the same obtained based on the application of appropriate tests for the assessment of students' motor status. The assessment of motor skills was performed through a battery of seven tests: maximum number of push-ups in 10 seconds (MSKL) - used to assess the dynamic strength of the arm and shoulder girdle, standing long jump (MSDM) - used to assess the explosive power of the lower extremities, agility with a stick (MOKP) - used to assess coordination, the maximum number of trunk lifts in 30 seconds (MPTR) - used to assess the dynamic strength of the trunk, hand tapping (MTAR) - used to assess the frequency of hand movements, forward roll - backward roll - running (MKNT) - used to assess agility, and the Cooper's 12-minute running test (MKUP) - used to assess aerobic endurance. For the self-assessment of motor skills, a constructed questionnaire with six responses was used: excellent (5), above average (4), average (3), below average (2), poor (1), and very poor (0). The obtained results showed a positive transfer of the Special Physical Education (SPE) curriculum to body coordination, agility, and the dynamic strength of the arm and shoulder girdle. Students' self-assessments of motor skills in the test for the assessment of trunk dynamic strength, dexterity and agility were excellent. The students provided poor self-assessments regarding the test for the assessment of explosive power of the lower extremities, speed, and the frequency of movement, the dynamic strength of the arm and shoulder girdle and body coordination. The students provided overestimated self-assessments in the aerobic endurance test. The obtained results indicate the need to enrich the teaching content of SPE, primarily in the area of motor skills aimed at the development of aerobic endurance, as well as the implementation of the self-assessment method in the same.

A. Domić, Ivana Tomasovic, Paula Bernaciak, G. Voronov, R. Igić, R. Škrbić

Introduction. Combustible tobacco smoking accounts for nearly 30% of all cancer deaths in the United States of America and about 7 million deaths worldwide each year. Nowadays, e-cigarettes are increasingly used, especially among young people, but nicotine addiction that develops by such smoking easily converts to smoking combustible tobacco. Therefore, public health efforts must be directed to the prevention of initiation of smoking all nicotine-containing products. Role of Physicians. Medical doctors are very influential in smoking-related changes in local society, especially those who work in primary care, and they have an important role in both prevention and cessation of tobacco smoking. Tobacco smoking should be eliminated among medical doctors, yet many of them still smoke. The lowest percentage of smoking among physicians is in Oceania and North America (less than 11%) and the highest in Eurasia (25%). Smoking prevalence among medical students is higher than 35% in Georgia, Greece, Spain, and Italy, but less than 5% in the United States of America and Australia. In Serbia, 23% of physicians smoke. The age of physicians does not affect the number of smokers, but gender has a significant effect; women smoke less than men. Smoking Prevention and Cessation. Education about the effects of combustible tobacco smoking is a critical issue for successful smoking prevention and cessation; the best way is to provide educational programs on smoking at medical schools by introducing a mandatory course on combustible tobacco smoking at the beginning of the first year of study, especially in societies with a large percentage of smokers. Conclusion. In this paper, we showed how smoking can be eliminated among physicians and how they can affect the patients, public health policies, and antismoking campaigns.

Let me explain the principle of bioassay. It is an analytical method for determination of the relative strength (concentration or potency) of a substance by comparing its effect on a test organism (living animal, cells or tissues) with that of a standard preparation. Bioassays are used in pharmacology mainly to determine the concentrations of hormones or drugs, eg biologically active peptides, acetylcholine, catecholamines, prostaglandins, histamine and prostacyclin. However, there are other forms of bioassay in which one can use isolated tissues and determine actions of their nerves, such as the nerve to the diaphragm from rats. Bioassays may also be done in vivo in individual humans. The assessment of drug effects in humans is designated by clinical pharmacologists as a clinical trial. Such trials often require hundreds or sometimes thousands of patients in order to test efficacy and safety of any new drug before it can be marketed. If the human investigations produce unexpected results, quite different of those obtained in the animal experiments the trials must be redesigned, to examine why and how this occurred. There are many examples of how such discoveries resulted in new clinically useful medications (eg, discovery antihypertensive effect of beta-adrenergic blocking agents).6 Accordingly, the pharmacologists have the bioassays, as a tool, which help them in the discovery process. I wrote on the renowned pharmacologist Professor Ervin G Erdös and his scientific opus in my reminiscence article written on the occasion of his death in 2019.1 When I attended the Fourth International Congress in Pharmacology in Basel in 1969, Dr Ervin G Erdös invited me to join his laboratory. Thus, in April 1970, I arrived in Oklahoma City as a Fulbright Fellow to work with him for two years. Later on, as a visiting scientist I frequently worked in his research laboratories in Dallas and Chicago and we shared research interests through visits across the Atlantic between the former Yugoslavia and the United States.2, 3

R. Igić, Paula Bernaciak

Tobacco smoking is a mental and behavioral disease. It causes significant pathology and premature death in more than seven million individuals a year around the globe. Because smoking is such important public health issue, the general public will benefit from targeted preventive strategies. Medical doctors have a vital role in smoking cessation of their patients. Non-smokers are more successful in this role than chronic smokers. Governmental regulation on smoking, as well as strict no-smoke policy in hospitals and university campuses will help not only medical students, other health workers and the general public to quit smoking and contribute to the general good health of this population. The aim of this comment is to analyse the current smoking habits of physicians and medical students and presents policies and other help to the medical students to stop tobacco smoking.

Z. Pajić, Saša Jakovljević, Marija Anđelković, Slobodan Simovic

The aim of this paper is to review and summarize the theoretical and empirical facts of using the (BMI), (body mass index) in determining the relationship between body constitution and motor skills. Several key circumstances have been identified in which the body mass index can give erroneous information about the actual body composition, and especially about the amount of adipose tissue in the body. Factors such as age, sex, race, health status and muscle mass can influence the connection between(BMI) and body fat. Due to a relatively low coefficient of determination between (BMI)and percentage of body fat, one should be cautious when using (BMI) to evaluate body composition as a predictor of obesity or as a substitution measure in evaluating the influence of body constitution on the efficiency of motor performances. The analysis of the sources indicates that the existence of unexplained facts uses alternative measures of body composition and their limited use in research and direct training practice. Therefore, new concepts and models are necessary in order to explain the influence of body composition on the efficiency of motor performance. Apart from the necessary evaluation of variables of percentages of fatty and muscle tissues, it could be assumed that the application of two component (BMI) = (FFMI+FMI), (Fat Free Mass Index, Fat Mass Index) and/or (MFR) model (Muscle to Fat Ratio) would provide a better comprehension of these relations.

Vesna Gajanin, Nikola Baroš, G. Marošević, Đuka Ninković-Baroš, Jagoda Balaban

Background / Aim: Hidradenitis suppurativa (HS) is a chronic inflammatory disease that most often affects apocrine gland-bearing areas of the skin. The treatment depends on the severity of the clinical presentation. The paper objective was to present new modalities in management and treatment of HS. Methods: The subjects in this research included the patients suffering from the severe form of HS, who were treated in the University Clinical Centre of the Republic of Srpska for the past three years. The effect of treatment of HS were monitored. In four patients, biologic therapy with adalimumab or adalimumab biosimilars was administered, while four patients received radiotherapy and 17 of them, were treated surgically. Depending on the type of treatment, the effects of therapy were monitored after 6-12 weeks by using clinical examination and by assessing the disease stage according to the Hurley staging. Due to a small number of subjects, especially in patients treated with biologic and radiotherapy, it was not possible to perform any statistical analysis and the results were presented by description, in tables and photographs. Results: Biologic therapy: Adalimumab was administered subcutaneously 80 mg, twice a month. After 12 weeks, in 4 patients was observed a regression of changes by 60-70 % when compared to previous skin changes. Radiotherapy: the total radiation dose was 5 Gy, distributed in 5 or 10 fractions. After 12 weeks an improvement by 60-70 % was observed. Surgical treatment: after 6-8 weeks, the patients were fully recovered. Conclusions: Application of biologic and radiotherapy after 12 weeks had similar results, ie it brought to regression of changes by 60-70 %. The best results were achieved after surgical treatment of HS.

F. Marki, P´eter Rucz, Nico van Oosten, E. Ganić, Ingrid Legriffon

Noise impact management goes hand in hand with the capability to predict the noise impact on exposed communities. Three tools to that purpose are presented in this chapter: the Noise Management Toolset (NMT), the Demo Virtual Community Tool (VCT) and Dynamic Noise Mapping. The NMT is a web-based tool giving stakeholders the opportunity to evaluate scenarios through not only noise exposure, but also noise impact, by introducing annoyance related metrics like the awakening index, with an easy-to-use interface. The VCT is the underlying research tool exploring and testing new indicators and options that might be of relevance to target audiences, such as land use planning information about location dependent activities or window insulation. The third approach, Dynamic Noise Mapping, adds the important aspect of population movement to classical noise mapping approaches where temporal changes of noise maps are tracked and included in noise exposure evaluation.

Maja Diljkan, S. Škondrić, Dino Hasanagić, Mirjana Žabić, L. Topalić-Trivunović, Carlos Jiménez-Gallardo, B. Kukavica

Seasonal variations in the environment (e.g. of temperature and light intensity) can lead to the excess production of reactive oxygen species and oxidative stress, inducing changes in the permeability of the plant cell membrane and the structure and function of cellular molecules. To address these deleterious effects, plants activate various non-enzymatic and enzymatic antioxidants. This study seeks to detect the influence of seasonal variation in Hedera helix (ivy) leaves, collected in Banj brdo (Banja Luka, Republika Srpska, Bosnia and Herzegovina) between December 2017 and November 2018, on oxidative (hydrogen peroxide and malondialdehyde) and antioxidant (superoxide dismutase, catalase, Class III peroxidases, and phenolic compounds) parameters. During the winter-early spring months (a temperature range of 0.7 to 5.4?C), we detected an increase in the values of all the oxidative and antioxidant parameters, whereas during the spring, summer, and autumn months (a temperature range of 15 to 25?C), the values of most of these parameters fell. However, a peak in the parameter values was detected during June and July 2018, which might be attributable to the influence of the changes in both light intensity and temperature and to the effects of intensive shoot growth. Our results highlight the importance of the antioxidant protection system of H. helix for its acclimation to seasonal variations in the environment, especially temperature.

Maja Milijaš, D. Cvetković, A. Savić, Ana Velemir, L. Topalić-Trivunović, Saša Papuga

Honey is a product of high nutritive value, used as a raw material for obtaining mead. The quality of mead can be improved by adding fruit juices, including chokeberry juice. This paper aims to assess the effects that adding different quantities of chokeberry juice, with the variation of 3 amounts of inoculated yeast, has on the fermentation course, physicochemical, antioxidant and antimicrobial properties of mead. The parameters analyzed are the dry matter content, pH value, and content of volatile acids, ethanol and methanol, total phenols and flavonoids, FRAP, DPPH and ABTS tests and antimicrobial properties. The results obtained in this paper show that adding chokeberry juice improves antioxidant properties of the final product and affects positively the course of mead fermentation, i.e. it has led to an increase of the maximum concentration of ethanol (Pm). In terms of the chemical composition of mead, there is no significant difference, except in the obtained ethanol content, which is the highest in samples with 10% of added chokeberry juice. Control sample showed the best antimicrobial activity, while sample with 5 % of added chokeberry juice showed the weakest effect. The strongest effect was seen in the sample with 20% of added chokeberry juice.

J. Bojanić, Silvana Trifunović, A. Verhaz, D. Knezevic, Mirjana Đermanović, N. Knežević, Mladena Malinović

Introduction. Assessment of the occupational risk of exposure to the new coronavirus of workers engaged in the COVID-19 Departments of the University Clinical Center of Republic of Srpska and the use of personal protective equipment was the aim of this research. Method. In the University Clinical Center of Republic of Srpska (UKC RS), in the COVID-19 Departments, a KAP study (Knowledge Attitudes Practice Study) was conducted among 102 employees of all educational profiles, using the questionnaire of the World Health Organization (WHO), which was adapted for this research. The survey was voluntary and anonymous with the informed approval consent of the respondent. Results. Out of 102 surveyed, 13 of them tested positive for SARSCoV-2. On average, 95.0% of respondents always wear PPE in the COVID-19 Departments of the UKC RS. Putting on/removing PPE and decontamination of contact surfaces have been always carried out by 88.2% of respondents. Out of 64 respondents who used PPE for aerosol generating procedures, 10 of them (15.6%) were positive for SARSCoV-2 and of the other 38 respondents who did not participate in such procedures, three of them (7.9%) were positive for SARS-CoV-2. Statistical data processing was done in the SPSS program package, version 20.0, with a significance level of difference of 5% (p=0.412). Conclusion. There was no significant difference between SARSCoV-2 positive and negative personnel regarding the use and change of PPE, hand hygiene and surface decontamination. The assessment of the occupational risk of exposure to SARS-CoV-2, in addition to the proper use of PPE, takes into account the local epidemiological situation, specific characteristics of the work environment and tasks, the hierarchy of controls and the level of adherence to preventive measures and infection control.

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