Background: The organization of health care system on Cantonal level with the coordination from Federal level represents a real situation with the possibility of decentralization of health care system according to the experiences of developed countries. Objective. To make an overview of the situation at the primary and hospital health care level with the aim of assessing the existing human resources and capacity of health care institutions in FB&H, with which we entered in COVID-19 pandemic. Methods. This retrospective study presents the efficiency of health care in FB&H measured by number of medical doctors, and other medical staff during the time period of five years. Data of the Institute for Public Health FB&H were used. The Institute for Public Health FB&H is authorised by the law to conduct and implement statistical research in the field of health care in line with relevant laws and by-laws. The Institute is obliged to report on organisational structure, human resources and medical equipment. Results. Presented data include the number of health care employees in medical institutions in FB&H in the period 2015-2019 per 100,000 inhabitants and their numbers in primary health care, family medicine, secondary and tertiary level of health care in 2019. The study also presents the number of doctors of medicine, specialists and medical residents in FB&H, the number of nurses of all profiles and levels of education as well as medical staff and other employees in the public health care system in FB&H in 2019. Conclusions. The COVID-19 pandemic in FB&H has confirmed the fact that human resources in health care are insufficient, especially in the field of public health and epidemiology. The availability of these health facilities and human resource is not uniform throughout the FB&H, which may affect the capacity of the health system in some parts of the FB&H to meet the needs of providing services during COVID-19 pandemic.

Introduction Cytokines exert biological function through signal transducer and activator of transcription factors. Prostaglandins have function as promotors, where play a key role in generation of the inflammatory response and as ones that solve inflammatory process. Non-steroidal anti-inflammatory drugs, inhibit prostaglandin synthesis but the existence of additional mechanisms is present. Thus, we aimed to explore effects of topically applied NSAIDs on the levels of PGE2 and Stat3 in the setting of two in vivo induced acute inflammation models. Methods Male Wistar rats were randomized into five equal groups: 4 treated and a control group. Diclofenac or ketoprofen patches were applied in two different doses, i.e. equivalent to human therapeutic dose, and three times higher dose. Three hours later either model of inflammation (with 20% yeast, or with 1% carrageenan) was induced. Blood samples were taken 3 hours after and concentration levels of PGE 2 and Stat3 were determined using ELISA. Body temperature was measured at 0. 1st, 3rd and 5th hour after inflammation induction and presented in Celsius degrees. Shapiro-Wilk, Leven’s, Welch’s One-Way ANOVA, Kruskal-Wallis test and adjustment by Bonferroni correction were applied. Results In both inflammation models, no differences in the mean values of PGE 2 between control, low and high dose groups treated by either diclofenac or ketoprofen were found. In yeast inflammation, the mean value of Stat3 was significantly higher in both dose ketoprofen groups compared to control group. After ketoprofen application, no significant differences in body temperature between groups at hour 0 and 5 in either model of inflammation induced, while at 1st hour after carrageenan inflammation, significant differences were found with significantly higher values in low dose ketoprofen group compared to control group. In yeast application, significant differences in body temperature were found at hour 3 after inducing inflammation and post hoc pairwise comparison test revealed significant higher values in low dose ketoprofen group compared to control. Conclusion Elevated Stat3 values post ketoprofen application in yeast model of induced inflammation were detected. Further investigation of cytokine microenvironment as well as the mechanisms of ketoprofen influence on inflammation are needed.

The phenolic composition, as well as the antioxidant and antimicrobial activities of two poorly investigated Achillea species, Achillea lingulata Waldst. and the endemic Achillea abrotanoides Vis., were studied. To obtain a more detailed phytochemical profile, four solvents with different polarities were used for the preparation of the plant extracts whose phenolic composition was analyzed using UHPLC-MS/MS (ultra-high performance liquid chromatography-tandem mass spectrometry). The results indicate that both of the investigated Achillea species are very rich in both phenolic acids and flavonoids, but that their profiles differ significantly. Chloroform extracts from both species had the highest yields and were the most chemically versatile. The majority of the examined extracts showed antimicrobial activity, while ethanolic extracts from both species were potent against all tested microorganisms. Furthermore, the antioxidant activity of the extracts was evaluated. It was found that the ethanolic extracts possessed the strongest antioxidant activities, although these extracts did not contain the highest amounts of detected phenolic compounds. In addition, several representatives of phenolic compounds were also assayed for these biological activities. Results suggest that ethanol is a sufficient solvent for the isolation of biologically active compounds from both Achillea species. Moreover, it was shown that the flavonoids naringenin and morin are mainly responsible for these antimicrobial activities, while caffeic, salicylic, chlorogenic, p-coumaric, p-hydroxybenzoic, and rosmarinic acid are responsible for the antioxidant activities of the Achillea extracts.

Introduction: Obstructive sleep apnea (OSA) is characterized by the cessation of air flow during sleep due to an obstruction in the nasopharyngeal/oropharyngeal region. The consequences that untreated obstructive sleep apnoea might have on patient’s health include symptoms like sudden awakening with a sensation of suffocation, morning headache, daytime sleepiness and fatigue, lack of concentration, and it is commonly connected to hypertension, coronary artery disease, depression, obesity and other medical conditions. Aim: The purpose of this review study is to enlighten the role of an orthodontic professional in prevention and treatment of obstructive sleep apnea syndrome to the general public. Methods: Data search was determined by the following keywords: sleep apnea, orthodontic abnormalities, orthodontic prevention, sleep apnea syndrome, obstructive sleep apnea, cephalometric analysis, AHI index, BMI index and obesity. Electronic data search was performed on platforms Pubmed and Google Scholar. Results: After reading and analyses, twenty-one articles with similar procedural criteria were selected, and among them only 6 were recognized as meeting the criteria of being completely accessible, having the selected keywords in their name, using the cephalometric analysis and BMI index and discussing the obese adults sleep apnea. In all the examined studies, it is proven that craniofacial morphology is a major anatomical risk factor for OSA. Conclusion: The role of the orthodontic specialists might be crucial in prevention of the development of obstructive sleep apnea, not only considering the orthodontic devices treament options, it can be especially important when obesity appears as a factor in the sense of informing and advising the patient and cooperating with other specialists who treat and prevent obstructive sleep apnea syndrome.

Nowadays, the flour-based confectionery industry is facing different challenges in reducing caloric and increasing nutritive values in order to produce healthier products, given that consumption of flour-based confectionery products has been growing steadily worldwide. In addition to wheat flour, these products include sugar and fat, which contribute to high energy value, but have few micronutrients and are mostly poor in nutritional terms. Due to frequency of consumption, they can harm a balanced diet, especially when it comes to children and young people. Flour-based confectionery is highly suitable for enrichment with ingredients that have pronounced functional properties. In this sense, the text offers some possibilities for improving such products through different approaches and presents new trends in developing functional, flour-based confectionery by using different supplements that could decrease caloric value, improve nutritional and non-nutritional values and develop products with pronounced functional properties.

Background: In postmenopause there are changes in metabolism of bone tissue and consequent decrease of bone density. With ageing redistribution of fat occurs and an increase in body weight. Because of hormone changes in postmenopause fat is redistributed from gluteofemoral area to the abdominal region. Objective: The objective of this study was to examine the relationship between bone density and a body mass index (BMI), and distribution of the fat tissue in women in postmenopause (WHR). Methods: This research was prospective, and it included total of 83 women, 53 women were in the natural postmenopause and 30 women with the regular menstruation. Results: BMI in women in postmenopause was statistically significantly higher than BMI in women with the regular menstruations (p= 0,005). There was no statistically significant difference between waist hip ratio in women in the postmenopause in relation to the women with the regular menstruations. In women in the postmenopause significant positive correlation between BMI and density of the neck of femur was found (Z and T-score) (p=0,019; p=0,005). There was also significant negative correlation between the WHR and density of the lumbal spine (backbone) in women in the postmenopause (Z-score) (p=0,043). The identical analysis in women with regular menstruations, negative correlation between the density of the lumbal spine was found again (Z-score) and WHR , but the same was highly expressed (p=0,041). The observed correlation between BMI and bone density in this group of women was not statistically significant. Conclusion: Based on the presented results we conclude that the higher the BMI (p=0,019; p=0,005) the higher density of the femoral neck postmenopausal women have, and lower bone density of the lumbar spine the higher ratio waist / hip (p = 0.043). In the women with regular menstruation bone density of the lumbar spine is the lower the higher the ratio of waist and hip (p=0,041), while there was no correlation between BMI and bone density in this group of women.

Abstract More than 30 dog parasite species have been identified in Bosnia and Herzegovina so far, and half of these are zoonotic. The aim of the study was to investigate the occurrence of parasitic infections in dogs from Bosnian-podrinje canton with a focus on zoonotic parasites. The study included 212 dogs (107 owned and 105 stray). One or more of the twenty parasite species were found in 82.55% of tested samples. Dicrocoelium dendriticum (Class Trematoda) was found in 0.94% of dogs. Dipylidium caninum and Mesocestoides lineatus (Class Cestoda) were found in 7.55% and 0.94% of dogs, respectively. Taenia spp. and Echinococcus spp. (Family Taeniidae) were found in 0.47% and 0.94% of samples, respectively. In the family of Nematoda, the following parasite species were identified with corresponding percent among tested dogs: Toxocara canis (25.94%), Toxascaris leonine (8.96%), Strongyloides stercoralis (0.47%), Ancylostoma caninum (3.77%), Uncinaria stenocephala (52.36%), Trichuris vulpis (22.17%), Eucoleus aerophilus (1.42%), Dirofilaria immitis (1.89%) and Dirofilaria repens (1.42%). In the kingdom of Protozoa, the following parasite species were identified with corresponding percent among tested dogs: Cystoisospora canis (8.49%), C. ohioensis (2.36%), Cryptosporidium spp. (4.72%), Sarcocystis spp. (0.47%), Babesia spp. (5.19%), and Giardia duodenalis (15.57%). Leishmania infantum was not identified in tested samples. The results showed a high level of parasitic infestation in the dog population in the Bosnian-Podrinje canton, with a high occurrence of zoonotic parasites. Significant differences were found between owned and stray dogs for all classes of detected parasites with exception of the class Trematoda, disregarding specific parasite species.

The oral health situation in Bosnia and Herzegovina is among the worst in Europe. We investigated the oral health behaviour of primary schoolchildren and their parents in Sarajevo. This was an anonymous cross-sectional survey among third-grade schoolchildren and their parents’ oral health habits in Canton Sarajevo. Cluster random sampling yielded a representative sample from all the public schools in Canton Sarajevo in 2019. The survey targeted a total of 441 children and 365 parents. Two thirds (66.5%) of the children reported brushing their teeth twice daily, and almost half of them failed to use fluoride toothpaste daily. Girls brushed their teeth significantly more often than did the boys (74% vs. 58%, p = 0.004). Children living in residential areas of middle and high socioeconomic status (SES) reported better oral health habits than did those living in areas of low SES. Our study showed that Sarajevo children’s oral health habits were poor. One-third of the nine-year-olds failed to brush their teeth according to recommendations, and almost half of them failed to use fluoride toothpaste daily. Improving the children’s oral health in the future will urgently require national oral health promotion and prevention programmes.

Sweet corn ( Zea mays L. var. saccharata [Sturtev.] L.H. Bailey) is a thermophilic crop that is sensitive to cold stress and thus may be cultivated by raising seedlings. The aim of this work was to determine the impact of transplanting and direct sowing on the yield and earliness of the sweet corn crop. The treatment protocol used had a combination of two different cultivation technologies (transplanting and direct sowing) and two different sowing periods (8 and 15 May during both growing seasons). The results show that the different cultivation technologies both had significant effects on the productive properties and earliness of sweet corn. The transplanting variants had about 34% more plants per hectare compared with the direct sowing yield. The ear length and mass were higher in crops grown using transplanting (22.2 cm and 278.0 g, respectively) than in crops grown using direct sowing (21.2 cm and 270.3 g, respectively). During the research period, a significantly higher ear yield was noted in the transplanted variants (11.7 t ha -1 ) compared with those of direct sowing (7.6 t ha -1 ). The transplanting variants had earlier harvests by 18 and 16 d in the first and second sowing periods, respectively, compared with those of direct sowing.

Dietary supplementation with sugar cane derivates may modulate low-density lipoprotein cholesterol (LDL-C) and proprotein convertase subtilisin/kexin type 9 (PCSK9) levels. The purpose of this study was to determine if dietary supplement (DS), containing Octacosanol (20 mg) and vitamin K2 (45 µg), could restore the disrupted physiologic relation between LDL-C and serum PCSK9. Double-blind, randomized, placebo-controlled, single-center study including 87 patients on chronic atorvastatin therapy was conducted. Eighty-seven patients were randomized to receive DS (n = 42) or placebo (n = 45), and followed for 13 weeks. Serum PCSK9 levels, lipid parameters and their relationship were the main efficacy endpoints. The absolute levels of PCSK9 and LDL-C were not significantly different from baseline to 13 weeks. However, physiologic correlation between % change of PCSK9 and % change of LDL-C levels was normalized only in the group of patients treated with DS (r = 0.409, p = 0.012). This study shows that DS can restore statin disrupted physiologic positive correlation between PCSK9 and LDL-C. Elevated PCSK9 level is an independent risk factor so controlling its rise by statins may be important in prevention of cardiovascular events.

This study evaluates the applicability of different models of coordinate transformation between local and global geodetic datums. The results indicate the grid-based method as the best solution, assuming a sufficient density of tie points. Transformation based on a limited number of tie points, which do not reflect the real state of the survey basis in a particular area, have limited possibilities to reduce nonuniform and unequally distributed distortions that are usually found in the spatial data. This inevitably leads to the degradation of accuracy of transformation results, which is unacceptable. By using the optimal resolution grid model, which includes geodetic points from the area of the cadastral municipality that is being transformed, much better results are achieved compared to the model of distortion shifts used in the Federation of Bosnia and Herzegovina.