Objective. The aim of this study was to compare mortality of patients after colorectal cancer surgery between hospitals in Serbia, which performed organized colorectal cancer screening and those which did not. Methods. The database included all patients who underwent surgery for colorectal cancer after the introduction of organized colorectal cancer screening Program in Serbia, in 2014-2015. The target group were patients 50-74 years old in the colorectal screening program, and the data was compared to the age-matched group from hospitals which did not perform the program logistic regression. Results. The was used to determine the significance of the differences in the observed variables, and the predictors of mortality after colorectal cancer surgery. Results. The 3631 patients were included in this study. The majority of them were operated due to the rectal cancer 2111 (58%), while 1062 (29.2%) were operated due to the colon cancer. Postoperative survival was significantly better in the target group in organized screening program (p<0.001; OR=0.46; 95%CI 0.33-0.62). There was a significant difference between patients who underwent surgery for colorectal cancer localized in the left colon, compared to the patients with localization in the right colon (p<0.001). The mortality after the surgery of colorectal cancer (4.7%) was followed by high comorbidity of cardiovascular diseases (24%). Conclusion. Patients included in the organized colorectal cancer screening have lower postoperative mortality than these not included. This indicates the necessity for further work on organized colorectal cancer screening, in order to reduce postoperative and overall mortality.

This work presents a grinding process of monoammonium phosphate (MAP) as an active component in a powder fire extinguisher (PFE). The aim was to determine the grinding time for reaching the optimal particle size of MAP necessary for permanent fire extinguishing. MAP grinding was performed by using a laboratory ceramic ball mill and a vibrating cup mill. The grinding process was controlled by sieving using a 100 ?m sieve at precisely defined time intervals. The efficiency of a PFE depends on the share of the -100 ?m fraction of the active component, which has to exceed 60 %. The optimal grain size with 64 % of fraction of particle size -100 ?m was obtained after 33 min of grinding of ?3000 ?m mm grain size MAP by using a ball mill (single-stage grinding). In two-stage process, by grinding the same initial MAP sample (?3000 ?m) in the vibro mill for 10 min, powder with the upper limit grain size of 300 ?m and the mean grain diameter of 120 ?m was obtained. This sample with a reduced size was further ground in the ceramic ball mill yielding 67.5 % of the fraction of particle size -100 ?m after 19 min. The total time of the two-stage grinding process was 29 min. By analyzing the grinding time of MAP required to get the lowest required share of the fraction of particle size -100 ?m that provides the effectiveness of formed PFE it can be concluded that 64 % of this fraction was obtained after 33 min of single-stage grinding, while only after 26 min in the two-stage process. Thus, the grinding time was reduced by 7 min indicating certain energy savings. Stability and hydrophobicity of the obtained PFE were achieved by coating with magnesium stearate (MgSt) at the content of 2 % in a ball mill for 15 min. The coating was confirmed by the standardized procedure for verification of PFE hydrophobic properties in contact with water drops. To obtained PFE had component mass ratios of MAP:AS:CC:QS:MgSt=55:20:18:5:2 (AS-ammonium sulfate; CC-calcium carbonate, QS-quartz sand) and was further characterized by chemical and granulometric analyses. The fire extinguishing efficiency of the PFE was tested in controlled conditions, whereby fires were initiated by burning solid materials and flammable liquids. In both cases, immediate elimination of flames was achieved, thus proving the efficiency of the PFE obtained in this work for practical applications.

Genetic and environmental factors play an important role in the development of type 2 diabetes mellitus (DM2) and its complications. Diabetic nephropathy (DN) is one of the most common microangiopathic chronic complications of diabetes. Oxidative stress occurs under condition of increased production of free radicals and/or decreased activity of antioxidant defense mechanisms and it is an important link in the complex mechanism of diabetic vascular changes. Glutathione transferases (GST) are enzymes involved in xenobiotic metabolism and they are part of complex antioxidant defense mechanisms. Numerous studies have found an association of GST gene polymorphism to a predisposition to various diseases, including diabetes and diabetic nephropathy. Our and other authors' results suggest that genetic variations in enzymes involved in free radical metabolism are associated with the development of end-stage kidney disease in patients with diabetes, which could become the basis for the development of preventive and early therapeutic strategies in high risk people.

Paraovarian cysts originate from the mesothelium and are presumed to be remnants of M?llerian or Wolffian ducts. In majority of cases they are found to be 10-80 mm in diameter and do not cause any symptoms. Paraovarian cysts can be found unexpectedly during an operation or on ultrasound examination performed for other reasons. They are most freequently discovered on ultrasound examination. However, due to the proximity of the ovary for which cystic formations are not rare, the diagnosis of these lesions can be a challenge. They are mostly asymptomatic and only large lesions (?20 cm in diameter) become symptomatic. Although these are mostly benign tumors, in rare cases they can become borderline or true malignancies. Most paraovarian cysts are found in the third and fourth decade of life. Paraovarian cyst complications include: compression of the surrounding structures of the pelvis minor and abdomen, pelvic pain, cyst torsion and rupture. Except for the already mensioned complications available literature has so far failed to show cases of uterine prolapse caused by an increase of intra-abdominal pressure due to the expansive growth of giant paraovarian cystic formation.

Introduction/Objective. The aim of the study was to examine the progression of diabetic nephropathy (DN) in a prospective three-year period as well as to establish the risk factors for DN progression. Methods. The study involved 45 patients with type 2 diabetes and DN (26 males, aged 18?62 years) followed up for three years. All the patients underwent physical examination and laboratory analysis at each visit. Laboratory analyses included complete blood count, serum glucose, urea, creatinine, protein, lipid concentration, glycosylated hemoglobin (HbA1c) and urine protein, albumin and creatinine concentration. Glomerular filtration rate (GFR) was calculated using Modification of Diet in Renal Disease formula. Kidney length and parenchymal thickness were measured by ultrasound. Results. Fasting serum glucose concentration (12.0 ? 2.79 vs. 9.50 ? 2.22, p < 0.001) and HbA1c (7.99 ? 1.43 vs. 7.49 ? 1.29, p < 0.031) were decreased over the three years. Albuminuria increased (43.75 ? 10.83 vs. 144.44 ? 52.70 mg/l, p < 0.001) and GFR (63 vs. 58.3 ml/min/1.73 m2) decreased significantly during the study, but serum lipid concentration remained unchanged. Mean kidney length and parenchymal thickness decreased during the three years. Linear regression analysis found systolic blood pressure, fasting glycemia, HbA1c as positive and kidney length and parenchymal thickness as negative predictors of proteinuria increase, but proteinuria as negative and serum iron and albumin concentrations as positive predictors of annual change in GFR. Conclusion High blood pressure and high HbA1c are selected as significant risk factors for increasing proteinuria, which is a significant predictor of GFR decreasing in patients with DN.

Background/Aim. Reactive thrombocytosis, as a paraneoplastic syndrome, is often observed in cancer patients. A variety of tumor-related humoral factors and cytokines con-tribute to tumor-stimulated thrombopoiesis. However, the exact role of these cytokines in the pathogenesis of thrombocytosis remains unclear. The aim of this study was to analyze systemic values of cytokines and clinical-pathological characteristics in colorectal carcinoma (CRC) patients with and without thrombocytosis. Methods. Fifty nine CRC patients were involved in this study and divided into two groups according to the number of platelets. We recorded and analyzed the data about: age, gender, size of the cancer, localization, metastasis, vascular or lymph vessel invasion, nuclear grade, histological differentiation rate, tumor, nodus, metastasis (TNM) stage and concentration of cytokines [interleukin (IL)-1, IL-33, IL-12, IL-17 and interferon (IFN)-?] in both groups. Results. CRC patients with thrombocytosis had significantly higher nuclear grade of the cancer (p = 0.002); higher percentage of detectable metastatic lesions in the liver (p = 0.002), lung (p = 0.001), peritoneal carcinomatosis (p = 0.001), detectable invasion of blood (p = 0.012) and lymph vessels (p = 0.010). Concentrations of tumor markers [alpha-fetoprotein (AFP), carcinoembryonic antigen (CEA) and cancer antigen 19-9 (CA19-9)] and se-rum values of IL-1 a nd I L-33 were significantly higher in CRC patients with thrombocytosis. IL-1/IL-12 (p = 0.016), IL-1/IFN-? (p = 0.007), IL-1/IL-17 (p = 0.006), IL-33/IL- 12 (p = 0.001), IL-33/IFN-? (p = 0.001), IL-33/IL-17 (p = 0.002), and IL-33/IL-1 (p = 0.006) ratios were significantly higher in CRC patients with thrombocytosis in comparison to CRC patients without thrombocytosis. Analysis of Receiver Operating Characteristic (ROC) curves showed that values of IL-1 [area under curve (AUC) = 0.718; 95% confidence interval (CI): 0.567?0.868; sensitivity 69.2%, specificity 62.9%] and IL-33 (AUC = 0.763; 95% CI: 0.614? 0.911; sensitivity 84.6%, specificity 65.7%)], could be serve as possible markers for paraneoplastic thrombocytosis in CRC patients. Conclusion. IL-1 a nd I L-33 significantly correlated to high thrombocyte number in patients with more aggressive CRC.

Ulcerative colitis is chronic immune-mediated disorder that affects primarily colonic mucosa. The metabolic syndrome has increasing global prevalence with a significant impact on biology of chronic diseases, such as ulcerative colitis. Today it is known that the metabolic syndrome attenuates severity of ulcerative colitis. Still, there is no evidence that different stages of metabolic syndrome alter the course of the ulcerative colitis. The aim of this study was to dissect out how progression of the metabolic syndrome impacted the biology of ulcerative colitis and severity of clinical presentation. Seventy-two patients (41 men and 31 women, 22-81 years old) were enrolled in this observational cross-sectional study. Concentrations of pro- and anti-inflammatory cytokines in serum and feces samples were measured and phenotype of colon infiltrating cells was analyzed. Patients in the terminal phase of the metabolic syndrome have clinically and pathohistologically more severe form of ulcerative colitis, which is followed by decreased concentrations of systemic galectin-1, increased values of systemic pro-inflammatory mediators and increased influx of lymphocytes in affected colon tissue. Our data suggest that reduced concentrations of galectin-1 and predomination of the pro-inflammatory mediators in patients with terminal stage of the metabolic syndrome enhance local chronic inflammatory response and subsequent tissue damage, and together point on important role of galectin-1 in immune response in ulcerative colitis patients with the metabolic syndrome.

Many studies have shown that small climate changes can strongly affect the forest trees growth rate, many times causing changes in species habitats. In general, drought is mentioned as the main problem, so it is necessary to carry out its identification and quantification to investigate its effects on forests in Republic of Srpska. This study aims to analyse the relationship between the growth of European beech (Fagus sylvatica L.) at optimal altitudes in the Republic of Srpska and its climate characteristics represented by the Forestry Aridity Index (FAI) and Ellenberg’s climate quotient (EQ) for 1950-2015 timespan. FAI and EQ were calculated using climate data (temperature and precipitation) extracted from a gridded dataset (E-OBS). Sampling was carried out in two localities near Vlasenica and Mrkonjić Grad at 1050 and 1030 meters above sea level (m a.s.l.), sampling the cores from 15 dominant trees at each locality. Using the Pearson Correlation Analysis, a negative impact on tree rings width (TRW) with rising index values was identified. This is especially pronounced for the index values of the year prior to the ring formation. In general, stronger negative correlations between TRW and EQ are found for the locality near Mrkonjić Grad, while FAI index showed a greater negative impact on TRW for the locality near Vlasenica.

The paper describes the possible etymological development of the oikonym Vogošća, the name of one of the nine municipalities of Sarajevo Canton, Bosnia and Herzegovina. Although the first traces of human presence in the area of Vogošća date back to the Neolithic period, its wider surroundings started being inhabited in Antiquity — first by the Illyrians who, in the early 1st century AD, were defeated by the Romans. The oldest records of this oikonym are found in the 15th and 17th centuries Ottoman cadastral books. Based on these defters, written in sijakat, a variety of the Arabic script, the form of the settlement name may be restored as Gogošta, Ogošta, Vgošta or Vogošta. These forms should be compared with other toponyms that prove both linguistically and geographically approximate, namely with the oikonym Ogošte (Ogošta, Hogošt) in Kosovo and the hydronym Ogosta in Bulgaria. It is assumed that the oikonym Vogošća goes back to the anthroponym August and that the etymological development is as follows: August + suffix -jь + suffix -a > Agọšta > Ogošta > Vogošta. Based on this etymological development, the authors conclude that the basis of this oikonym derives from the Slavic possessive adjective with the meaning ‘Augustʼs,’ the form Vogošća being thus an elliptical toponym. The authors discuss the phonetic changes in the course of this etymological development and provide historical evidence to substantiate the deanthroponymic formation of the oikonym Vogošća: based on the archaeological excavations, it is assumed the Roman military unit Augusta VIII or its veterans were located in the area of Sarajevo.

Expanded hemodialysis is a method of treatment to replace kidney function, which effectively removes uremic toxins of middle molecular weight from the blood of the patients with the end stage of chronic kidney disease. Two basic principles of removing uremic toxins during an expanded hemodialysis session are diffusion and convection. The basis of diffusion is the concentration gradient, and the basis of convection is internal filtration (covective transport). Increased MCO membrane sieving capacity and high internal filtration provide high clearance of middle molecular weight uremic toxins. Expanded hemodialysis prevents the development of microinflammation, malnutrition, resistance to the action of erythropoietin, amyloidosis, accelerated atherosclerosis and atherosclerotic cardiovascular diseases in the population of patients treated with regular dialysis. The task of the nephrologist is to evaluate different dialysis modalities that are available and to select the optimal dialysis modality for the treatment of each patient individually, i.e., the individualization of dialysis treatment.

Introduction. Conventional high-flux hemodialysis effectively removes uremic toxins of medium molecular weight of 0.5-15 (20) kDa, while postdilution online hemodiafiltration effectively removes uremic toxins of medium molecular weight in the range of 0.5-60 kDa. AIM. The aim of the study was to compare the efficacy of b2-microglobulin removal from the patient serum during a single session of conventional high-flux hemodialysis and postdilution online hemodiafiltration. METHOD. Eighty-five patients treated with conventional high-flux hemodialysis and thirty patients treated with postdilution online hemodiafiltration were examined. The main parameter for assessing the removal efficiency of medium molecular weight uremic toxins was serum b2microglobulin concentration before and after a single session of conventional high-flux hemodialysis and postdilution online hemodiafiltration. The following were used for statistical analysis: Kolmogorov-Smirnov test, Student's T test and Mann-Whitney U test. RESULTS. In patients treated with postdilution online hemodiafiltration, the average total convective volume was 21.38 ± 2.97 liters per session. The b2-microglobulin reduction index for the FX CorDiax 600 dialysis membrane was 61.76 ± 7.32%, while for the FX CorDiax 800 dialysis membrane it was 74.69 ± 6.51%. The albumin reduction index for the FX CorDiax 600 membrane was 3.48 ± 1.28%, and for the FX CorDiax 800 dialysis membrane it was 6.01 ± 2.97%. There is a highly statistically significant difference between the reduction index of b2-microglobulin and albumin, for two different dialysis modalities and two different dialysis membranes (p < 0.01). CONCLUSION. Postdilution online hemodiafiltration is more efficient in removing b2-microglobulin from patient serum, compared to conventional high-flux hemodialysis. Albumin loss during a single session of high-flux hemodialysis is lower compared to a single session of postdilution online hemodiafiltration. With both dialysis modalities, albumin loss is less than 4.0 g/4h. High-flux hemodialysis effectively prevents the development of dialysis-related amyloidosis, while postdilution online hemodiafiltration effectively prevents not only the development of dialysis-related amyloidosis, but also the development of resistance to erythropoietin and atherosclerotic cardiovascular diseases in the population treated with regular dialysis.

The paper analyses the databases Urban Atlas (UA), Imperviousness, and CORINE Land Cover (CLC) for the largest cities in Bosnia and Herzegovina (B&H). The UA database contains information for five functional urban zones with more than 100,000 inhabitants: Sarajevo, Banja Luka, Tuzla, Mostar, and Zenica. The Imperviousness database is related to the subclasses of the urban atlas because the impermeability percentage has been used for a more detailed classification within the discontinuous urban area. The CLC database provides insight into the intensity of expansion of these cities during three six-year periods: 2000-2006, 2006-2012, and 2012-2018. The research has been used to analyse the expansion of urban zones, the structure, and form of cities, and the impact of urban expansion on the surrounding area. The results of the research show that, despite the negative demographic trends, there is a trend of urban expansion in B&H, mainly over the agricultural land. According to the CLC database in the period 2000-2018, artificial areas increased in spatial coverage from 1.35% to 1.7%, and urban fabric from 0.99% to 1.27%. The Imperviousness database shows that in 2018sealed areas covered 1.59% and built-up areas 0.8% of the territory of B&H. The 2013 census showed that the number of inhabitants in all five functional urban areas decreased compared to 1991, but despite that fact, the expansion of urban zones continues with a weaker or stronger intensity. So far, there has been no research on urban development based on the high-resolution layers UA and Imperviousness database in B&H, so that such research is the most significant contribution of this article.