SUMMARY Background:The aim of the present study was to explore the differences in serum CRP, ACTH

The common population during the war in Bosnia and Herzegovina had increased numbers of acute myocardial infarctions and unstable angina pectoris cases.

Aim:To determine the rural–urban differences in primary care practice, hospital inpatient care and total services.Methods:This cross-sectional study used data from Zenica-Doboj Canton in Federation of Bosnia and Herzegovina (FBiH). The overall sample size for the study was 1,995. Individual interviews were conducted in one randomly selected day of the week, except Monday and Friday, on the basis of EUROPEP (European Task Force on Patient Evaluations of General Practice Care) standardized questionnaire.Results:Out of total number (n=1 995), 47.9% was urban population and median of age was 42 years for both populations. The most of urban residents (81.4%) had finished high school or higher education compared with rural residents (58.5%) (p < 0.001). There are significant differences in employment status between rural and urban population (p < 0.001). Rural residents are more likely to travel more than 15 minutes to see their health facilities compared with urban residents (61.7% vs. 24.4%, respectively). Median of distance (kilometers) from residence location to the nearest hospital was statistically significantly higher in rural Me = 8.0 (5.0 do 14.5) km compared to urban population Me = 1.5 (1.0 to 3.0) km (p < 0.001). The rural population was more likely to buy drugs for medical treatment (p < 0.001) and parenteral injections in primary care practice (p < 0.001).Conclusion:There are significant differences in the overall health care assessment of rural populations as compared to urban populations.

Introduction:The most common mental disorders in elderly, beside dementia, are depression and anxiety, which are important public health problem, although they are diagnosed and treated in under 20% of the population. Mental health care for elderly is one of the indicators of quality or omissions in the health system of a country.Aim:The aim of the study was to examine the incidence of depression and anxiety among the elderly in the Livno area.Material and methods:Across-sectional study was carried out in the Livno area through June 2017 on a sample of 100 respondents (N=100). Inclusion criteria: age over 65 years. Exclusion criteria: persons with malignancy, persons with psychiatric diagnosis or dementia. Research tools used: Questionnaire on sociodemographic status and Hospital Anxiety and Depression Self Evaluation Scale (HAD).Results:More than 90% of the respondents of both genders were estimated to be borderline depressed or depressed. There was a higher incidence of depression among male respondents, and anxiety among female respondents. Probably and borderline anxiety is recorded in 84% of respondents, which exceed the results of all available literature data. Religious habits have no influence on the occurrence of depression but there is a connection between prayer and anxiety occurrence.Conclusion:This research has established an extremely high incidence of depression and anxiety among the elderly in the Livno area. The results of the available studies indicate significantly lower rates of occurrence than in the tested sample. Socioeconomic status did not prove to be a significant predictor of the occurrence of these disorders.

Retrospective study was conducted in surgical intensive care unit (ICU) in Clinical Hospital Center Zagreb in 2005. The aim of study was to create guidelines for empirical antibiotic therapy of sepsis in ICU for unknown causative agent based on antimicrobial susceptibility of causative bacteria. Thirty-two patients with severe sepsis were included in study and from medical records their clinical and microbiological data were analyzed. Antimicrobial susceptibility of the strains isolated from the blood-culture was tested by disk diffusion method according to CLSI (Clinical Laboratory Standard Institution). We used APACHE II score to predict the severity of illness. Mann-Whitney test and chi2 test were used to test statistical significance difference between results. Acinetobacter baumannii and Pseudomonas aeruginosa were the predominant causative agent. Acinetobacter baumannii was displaying excellent susceptibility to ampicillin+sulbactam and carbapenems, whereas Pseudomonas aeruginosa was showed good susceptibility on ceftazidim and carbapenems. Methicillin-resistant Staphylococcus aureus (MRSA), third predominant causative agent exhibiting good susceptibility to vancomycin and linezolide. The recommended therapy is empirical antibiotic therapy and should cover all important pathogens.