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Publikacije (51)

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I. Vasilj, S. Čavaljuga, T. Lucić, Ferdo Kvesić

Analysis of a cerebro-vascular insult hospitalised cases from West Herzegovina Canton as a retrospective epidemiological study was done in Clinical hospital Mostar for the period from 1998 to 2002. The major source of data was medical documentation of this hospital, the only hospital for the treatment of 88,257 inhabitants from this Canton. The study included a total of 393 cerebro-vascular insult cases from this Canton treated in the Clinical hospital Mostar. Among them 189 (48.1%) were male patients, while 204 (51.9%) cases were female. The majority of the cases were above 50 years of life. Majority of treated female patients were older then 65, while among male patients the majority were between 50 and 65 years old. The least number of cases was under 50 years in both groups. During the same period risk factors research for entire FBiH was performed on the sample of 2,750 national insurance holders. Out of them 1.7% was found to suffer of cerebro vascular insult.

M. Bergovec, I. Heim, I. Vasilj, M. Jembrek-Gostović, M. Bergovec, M. Strnad

OBJECTIVE To examine the effects of war in Bosnia and Herzegovina on the occurrence of acute coronary syndrome among civilians. METHODS The incidences of acute myocardial infarctions (first and recurrent) and unstable angina pectoris were examined among the residents of Mostar and the nine neighboring districts. The study population was the population that lived in the area before the war (182,000 in the 1991 census). Others who immigrated into the area were not taken into consideration. Five consecutive years (1987-1991) before the war and 5 consecutive years (1992-1996) during the war were analyzed. RESULTS In the 5-year period during the war, 267 men and 161 women suffered from acute myocardial infarctions, compared with 246 men and 119 women in the 5-year period before the war. The wartime increase in acute myocardial infarctions for the combined male-female population was statistically significant (p = 0.025). For women, the wartime increase was statistically significant only for the age group of 60 to 69 years (p = 0.007). The smaller increase among men was not statistically significant (p = 0.354). The increase to a wartime number of 52 cases of recurrent myocardial infarctions from a prewar level of 24 was statistically significant (p = 0.001). The percentage of fatal myocardial infarctions among women, however, was lower during the war (18.6%) than before the war (32.8%) (p = 0.048). During the war, 109 men with unstable angina pectoris were hospitalized, compared with 84 before the war; the cases among women were 76 and 41, respectively. The increase was statistically significant among women (p = 0.001) but not among men (p = 0.072). There was a statistically significant increase (p < 0.001) in the total number of unstable angina pectoris cases during the war (185 cases, compared with 125 prewar cases). CONCLUSION The common population during the war in Bosnia and Herzegovina had increased numbers of acute myocardial infarctions and unstable angina pectoris cases.

I. Vasilj, S. Čavaljuga, T. Lucić, Ferdo Kvesić

Cerebro-vascular insult is defined as sudden focal neurological deficit, caused by a cerebro-vascular disease lasting more then 24 hours. In this paper result of a retrospective epidemiological study of cerebro-vascular insult hospitalized and died patients from West Hercegovina Canton, was given. The study was done in Clinical hospital Mostar, for the period from 1998 to 2002. The source of the data was this hospital medical documentation. This hospital serves a total of 88,257 population of West Hercegovina Canton. A total of 393 insult cases were analyzed, out of which were 189 or 48.1% of male and 204 or 51.9% female patients. Hospital lethality found for that period was 37.4% (147 patients died out of 393 treated). Out of a total number of exited patients 37.1% (70 out of 189) were male and 37.7% (77 out of 204) were female patients. The highest lethality among both sexes was above the age of 65 years of life (37.4%), while the least was among patients between 30 to 49 years of life (25.0%).

I. Vasilj, S. Čavaljuga, M. Strnad, A. Znaor

In Federation of Bosnia and Herzegovina during 2002 a total of 67 cases of endometrial cancer (ICD 10th Revision Code C54) were registered among female population older then 15 years (1 per 10,000 population). Nine women were diagnosed with non specific malignant uteri neoplasia (C55)--without clarifying if that was cervix or corpus uteri located cancer, but assumption is that these cancers are actually endometrial cancer. Majority of cases are older then 50 years, 48 of them (71.6%), while 29 (28.4%) are from 15 to 49 years old. During 2000 about 189,000 new endometrial cancer cases were reported with 44,700 endometrial cancer deaths in the World. In this paper we presented geographical distribution of cases registered in FB&H, as well as leading risk factors, protective factors and prevention and possibilities for screening methods.

M. Bergovec, I. Vasilj, M. Jambrek-Gostović, I. Heim, M. Strnad

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