Introduction: Psoriasis is a chronic disease. Research shows the emergence of harmful habits such as cigarette smoking and alcohol consumption in people with psoriasis. Aim: The aim of this study was to determine the frequency of habits, cigarette smoking and alcohol consumption in patients with psoriasis, sexual distribution, and the relationship of habits with the severity of the disease. Methods: The prospective study included 129 subjects with psoriasis, of which 67 or 51,94% were women and 62 or 48,06% were men. Results: The frequency of cigarette smoking was 41,09%, alcohol consumption 24,80%. The gender distribution of cigarette smoking was: 35,82% of women and 46,77% of men smoked cigarettes. The gender distribution of alcohol consumption is: women 5,97% and men 45,16%. The severity of psoriasis, that is PASI score and cigarette smoking were statistically significantly related (r=0,63), and PASI score and alcohol consumption were not statistically significantly related (r=0,32). Conclusion: Cigarette smoking and alcohol consumption are present in psoriasis sufferers, cigarette smoking is associated with disease severity, and alcohol consumption is not. It takes knowledge of the habits of people with psoriasis and a multidisciplinary approach to get rid of harmful habits.

Background: Psoriasis is a chronic incurable disease, and patients develop associated diseases such as obesity, diabetes, high blood pressure, dyslipidemia. Objective: The aim of the study is to determine the frequency of comorbidities (obesity, diabetes, dyslipidemia, high blood pressure) in men with psoriasis, and the relationship between the duration of psoriasis and the occurrence of comorbidities. Methods: A prospective study was conducted and included 88 male subjects, mean age 52,70 (SD=± 14,05) years, mean psoriasis duration 15,13 (SD=±12,43) years. Results: The incidence of obesity was 30,68%, high blood pressure 29,55%, dyslipidemia 22,73%, diabetes 13,64%. There was a weak correlation between the duration of psoriasis and the occurrence of obesity (r=0,11), dyslipidemia (r=0,18), diabetes (r=0,01), and high blood pressure (r=-0,02). Conclusion: Comorbidities occur in men with psoriasis, and their occurrence is not related to the duration of the disease.

Background: People with intellectual disability, have been shown to become high and frequent users of primary health care services—both general population health professionals and intellectual disability specialists. Aim: The aim of this paper has been to assess differences of Health and Safety Activities children with intellectual disabilities on the Supports Intensity Scale-Children’s Version and to confirm assumptions that support needs are confounded with age, IQ andgender.Methods:The sample included 377 children with intellectual disabilities in Bosnia and Herzegovina aged 5-16. Most respondents also had the presence of other, concurrent conditions and disorders. Using IQ, the sample was equalized to the level of intellectual functioning, and this data was obtained from the findings and opinions of the Commission for the Categorization of Children with Special Needs.Results:It was found at the multivariate level there are statistically significant differences between respondents of different ages and IQ in values of type, frequency and time of duration of support. No significant differences between boys and girls were identified at the multivariate level. Healthcare professionals and intellectual disability specialists must work as a team to guarantee any person with intellectual disability possibility to come as close as possible to the standard levels of well-being and health-related quality of life of the general population.

Furosemide is a diuretic and is often used in the treatment of hypertension. This medicine is very good when it comes to lowering the blood pressure, and this is also a drug of choice when it comes to the stage of hypertensive urgencies and emergencies. It can be administered intravenously, and the effects reach a maximum within 30 minutes. Due to the fact that this medicine causes a loss of potassium ions it can also affect the reduction of insulin in the blood, and thus the increase in blood glucose and arrhythmias. A prospective random study was carried out in Emergency Medical Service of Public Health Institution Center “Zivinice’’, where we analyzed 120 patients which were suffering from hypertension heart disease, and diabetes. We included all 120 patient whom suffering from hypertension and diabetes starting February till end of July 2016. Data for analysis: age, gender, bodymass index, analysis of the arterial blood pressure value, characteristic laboratory changes, analysis of electrocardiography. Looking at all the three groups of patients, it can be noticed that the maximum value of arterial blood pressure upon arrival at the Emergency Medical service had patients suffering from hypertension and diabetes, where the average value of arterial blood pressure was 173/113 mmHg. According to analysis for all three observed groups of patients, after treatment with furosemide there is no statistical significance in the incidence of arrhythmias between the groups where. Looking at the summary for all three groups of patients, the average value increase of blood glucose after treatment with furosemide is 0.7 mmol/l. Furosemide is safe for the treatment of hypertension in diabetic patients. It does not cause an increase in blood glucose levels.

Introduction: Antibiotic prophylaxis is defined as the use of antimicrobials in the absence of symptoms of infection, with the aim of preventing or reducing the incidence of infection after surgery. We analyzed the incidence of surgical wound infection in patients in whom a protection of hemoprophylaxis conducted using cefazolin and gentamicin, and determine the frequency of surgical wound infection in patients in whom there was a deviation in the implementation of hemoprophylaxis protection.Methods: This retrospective-prospective study included 100 patients surgically treated at the The Department of Orthopedics and Traumatology, University Clinical Center in Tuzla from December 2007 to February 2010, which examined the incidence of surgical wound infection after surgical treatment of fractures or degenerative changes in the hip, thigh and lower leg fractures.Results: In the first group, in patients who were treated with cefazolin were detected in 2 cases (5.7%) while the length of hemoprophylaxis was 7 days, patients who were treated with cefazolin and gentamicin were detected in 1 case (2.8%) and duration hemoprophylaxis was 7 days. In another control group tah was found 9 cases of wound infection (30%), and hemoprophylaxis duration was 10 days.Conclusion: The combination of cefazolin and gentamycin for a period of 5 days significantly reduces the incidence of infection and significantly shortened the time of antibiotics in group that is respected application protocol in accordance with international recommendation.

Introduction: sudden cardiac death (SCD) is an unexpected natural death due to cardiac causes in a short time period in a person with or without preexisting heart disease. Incidence of SCD in general population is 1/1000 inhabitants. Aims: to determine the incidence of SCD at a territory of Zivinice municipality. Patients and methods: this study is a prospective examination of SCD by using the data from death certificates, data received from interviews with competent physicians, witnesses and family members. Definition and criteria of SCD by European Society of Cardiologist and American Heart Association from 2001 and use of International Classification of Diseases, version 10, were applied to determine the number of SCD. Results: sudden cardiac death is the single most frequent cause of death in inhabitants of the Živinice municipality. The incidence of SCD at the municipal Živinice was 1 .4 cases per 1000 inhabitants per year. Mean age was 66.3 (±12,6) years; in average, men were 7.2 years younger than women. The risk for SCD was 1.24-fold higher in men than in women. Correlation between the age and numbers of SCD was high (r=0.89; p<0.005). The most frequent risk factors were age, family history of SCD and/or cardiovascular disease and inadequate physical activity; leading conventional risk factor was hypertension. Witnesses of sudden cardiac death were present in 58.0% cases. None of the persons with out-of-hospital SCD received adequate first aid from bystanders. Conclusion: Sudden cardiac death is the single most frequent cause of death among inhabitants of Zivinice municipality; proportion of SCD within all other causes of death was 22.3%. Incidence of SCD however, is not significantly higher when compared to industrialized countries. A risk for sudden cardiac death is significantly higher and directly depends on the presence and number of risk factors.

For more than three decades, heart muscle diseases have been classified into primary or idiopathic myocardial diseases (cardiomyopathies) and secondary discorders that have similar morphological appearances, but which are caused by an identifiable pathology such as coronary artery disease or myocardial infiltration (specific heart muscle diseases). In this document, The European Society of Cardiology Working group on Myocardial and Pericardial Diseases presents an update of the existing classification scheme. In this statement define a cardiomyopathies as myocardial discorder in which the heart muscle is structurally and functionally abnormal, in the absence of coronary artery disease, hypertension, valvular disease and congenital heart disease suffitient to cause the observed myocardial abnormality. Cardiomyopathies are gruoped into specific morphological and functional phenotypes; each phenotype is then subclassified into familial and non-familial forms. The aim is to help clinicians look beyond generic diagnostic labels in order reach more specific diagnoses heart muscle diseases.

UNLABELLED Aim of this study is to examinate time period from the beginning of symptoms in acute coronary syndrome to the arrival time in Department of emergency medical service Zivinice where electrocardiogram is only one exact method for diagnosis of the myocardial ischemia. In retrospectively-prospectively study during one year, every patient with symptoms of acute coronary syndrome were taken beside and performed physical survay. We recorded ECG, performed ECG monitoring and/or serial ECG records. We investigated reasons for the lete arrival, sex and age and risk factors. In 167 patients with diagnostic acute coronary syndromes, average time period from beginning symptoms to the arrival time was 8.12 (+/-5,87) hours, significant longer from optimal 2 hours (p=0,001). Average age of these patients was 60,4 years. Male subjects were ill for about 9,2 years earlier than women and 1,6 times higher incidence than female subjects in all age groups. Most important risk and precipitating factors were hypertension, smoking, diabetes, hyperlipidemia, obesity. Leading factors for late arrival was unadequate attributing for importance of the acute chest pain and nonexistance of emergency medical service "on call". CONCLUSIONS It is necessary to informe citizens about risiko factors of acute coronary syndrome development, its symptoms, characteristic and consequences . Necessity is to organize emergency medical service "on call" and establish modern emergency centers. It is necessery to adequately equip stationary emergency medical services and train doctors and other medical staff to point out and adopt the usage of algoritms and protocols for acute coronary syndromes management. To educate members of public services about basic principles of cardiopulmonary reanimation.