Introduction: Benign prostatic hyperplasia (BHP) is one of the most common, progressive diseases in elderly men. It is very important to diagnose this disease in its early stages. The international prostate symptom score (IPSS) is a very helpful tool to be used for this purpose. Aims: The main goal of this study was to analyze the signs and symptoms of benign prostatic hyperplasia and its impact on a patient's quality of life. Patients and Methods: This descriptive randomized study included 112 male examinees aged 50-70 years. We used IPSS as a survey tool. Results: The average age of the examinees was 61.02 (± 6,18). 56.3% of examinees had mild symptoms, 31.3% had moderate symptoms and 12.5% of our examinees had severe lower urinary tract symptoms. Nocturia was the most common symptom. Irritative symptoms were present in 76.8% of examinees compared to obstructive symptoms which occurred in 8.9%, and 14.3% had both types of symptoms. Hypertension was the most common comorbidity (in 50.9% of cases). The majority of examinees answered that they would be satisfied with their quality of life if their symptoms do not change in the future. Conclusions: Assessment of symptoms and signs of benign prostatic hyperplasia using IPSS in clinical practice has proven to be useful in the timely approach of clinical physicians.

Background: Family medicine is defined by the copartner attitude towards patients, and the field of action of the same is not just sickness but illness too- which includes satisfaction od patients, which constitutes an important reference of quality of the health system. Objective: Evaluation of patients satisfaction with provided healthcare in Family medicine (FM). Methods: The research is, by type, designed as random, descriptive, prospective. The study was conducted in the time period of May, 2018, in FM- one patient departments of the Primary Healthcare Center of Sarajevo Canton. 250 of age subjects, older than 18 years ,both genders were included in the study. The standardized, anonym, diskret, and to the demands of the research adapted, questionnaire of the Agency for quality and acreditation in health in the Federation of Bosnia and Herzegovina was used as the survey instrument. For data processing, the statistical package for data processing IBM Statistics SPSS was used. Results: Most of the patients were very satisfied with the accesss to the establishment, the working time of the establishment, the waiting time in the waiting room, the duration of examination, the adequacy, with securing privacy and with the work of the physician and the nurse. 44,80% of patients were satisfied, and 32,40% were very satisfied with the department of FM. In comparison to other health departments, 36,44% of patients adduce that FM is better. 65,60% of patients schedule physician examination, 17,60% of patients do not. Between groups of patients, significant differences in patients satisfaction with provided healthcare exist, Conclusion:. The most satisfied group of patients, with provided healthcare in FM, are patients age over 55 years, retired, having some chronical disease, having a elected FM physician, which schedule physical examination by their elected FM physician and patients which always.

Background: Acute nasopharyngitis is a common condition usually accompanied by nasal congestion. The aim of this study was to compare efficacy and safety of the spray containing xylometazoline and lysozyme with spray containing only xylometazoline in the treatment of acute nasopharyngitis.Methods: Prospective, comparative, post-marketing study was performed on subjects with acute nasopharyngitisdivided into xylometazoline+lysozyme or xylometazoline nasal spray groups. Data collection was performed at the baseline before and 30 minutes after the therapy application and seven days after baseline.Main findings: Out of 173 included subjects, 59 were in the xylometazoline+lysozyme and 114 in the xylometazoline group. In both groups nasal patency was significantly improved 30 minutes after the therapy application (p<0.001). In the xylometazoline+lysozyme group all subjects had nasal decongestion within 20 minutes and this was significantly shorter (p=0.037) compared to xylometazoline group where 16 subjects (14%) needed 20 to 120 minutes for nasal decongestion. All adverse events were mild and there was no significant difference in the number of adverse events between the groups.Principal conclusions: Nasal sprays containing xylometazoline with or without lysozyme were effective and safe in the treatment of acute nasopharyngitis. Nasal spray containing xylometazoline with lysozyme showed a faster effect with significantly shorter time to nose decongestion. All recorded adverse events were mild and there was no difference between the groups in the number of recorded adverse events. Key words: nasopharyngitis, nasal obstruction, lysozyme, xylometazoline,nasal sprays