NON-COMMUNICABLE CHRONIC DISEASES RISK PREVALENCE OF FAMILY MEDICINE PATIENTS IN THE FEDERATION OF BOSNIA AND HERZEGOVINA.

Aim: The aim of this study is to represent the prevalence of non-communicable diseases risks among patients of family medicine practices in the Federation of Bosnia and Herzegovina. Risks prevalence was obtained from an organized massive screening being performed by 100 family medicine teams in four cities of the Federation of B&H during 2013.

Material And Methods: Our concept of "preventive treatment of a patient" included detecting and monitoring the following chronic non-communicable diseases risk factors: (a) hypertension; (b) obesity; (c) smoking; (d) physical inactivity; and (e) dyslipidemia; (f) diabetes mellitus.

RURAL - URBAN DIFFERENCES IN HEALTH CARE QUALITY ASSESSMENT.

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.

Patient's Satisfaction with Health Care: a Questionnaire Study of Different Aspects of Care.

Aim: To determine the influence of sociodemographic factors on patients´ satisfaction with health care system.

Methods: In a cross-sectional study, 1,995 patients from 12 municipalities of Zenica-Doboj Canton were interviewed after a visit to the practice. Individual interviews were conducted and the questionnaire was made on the basis of EUROPEP (European Task Force on Patient Evaluations of General Practice Care) standardized questionnaire.

[Politics and strategy of privatization in health care system of Bosnia & Herzegovina. Private practice or private property?].

The aim of this study was to present a professionally sound option to conduct privatization process within the health care system of the Federation of Bosnia and Herzegovina. The purpose of this text is to represent a milestone for launching a wider public debate and preparation of privatization in-depth plan. Due to complexity of such action, it is not allowed to let it be spontaneous.

Effect of lactate on insulin action in rats.

The aim of the study was to explore the effect of lactate on insulin-stimulated glucose uptake in rats. Thirty Wistar rats, weighing 250 - 300 g. were arbitrarily divided into one of three groups (n =10): insulin (1 IU/kg) treated group, lactate (80 mg/kg), and insulin plus lactate treated groups.

Basic package of health entitlements and solidarity in the Federation of Bosnia and Herzegovina.

The aim of this report is to provide an overview of the methodology for designing a basic package of health entitlements and solidarity in the Federation of Bosnia and Herzegovina which will, respecting the principles of solidarity and equity, guarantee equal rights to all citizens of the Federation. After the analysis of the situation, we specified the reasons for the reform, listed the objectives, and described the basis of the basic package design, the establishment of federal solidarity, and the plan of realization. We discussed the background ethical theories of our policy choice, explicitly stated the normative and technical criteria for priority setting, and deliberated Federal financing solidarity policy and allocation methodology, as well as criteria for "risk equalization" among cantons.

Reform of health insurance in the Federation of Bosnia and Herzegovina.

The aim of this report is to provide an overview of the reform of health insurance in the Federation of Bosnia and Herzegovina (FBH). Health financing and resource allocation policies in the FBH are also summarized. Health financing should be ensured through three types of health insurance: compulsory, supplementary, and voluntary.

Priority setting and scarce resources: case of the Federation of Bosnia and Herzegovina.

The priority setting within the context of scarce resources in the Federation of Bosnia and Herzegovina (BH) can be divided into priorities within the health care services provision and priorities within the reconstruction process. Facing the resource scarcity, the Federation of BH has chosen to increase health insurance contribution rate to establish cost-sharing arrangements (co-payments) and priority setting to ration access to certain services funded by the compulsory health insurance ("basic package" of the health care services). Reconstruction process of the health care facilities is conducted on the federal level through the effective managerial infrastructure ("project implementation units").

[Strategic plan for reform and reconstruction of the health care system in the Federation of Bosnia-Herzegovina].

The aim of this study was to represent the document of the Federal Ministry of Health entitled "Strategic Plan for Reform and Reconstruction of Health System in the Federation of Bosnia and Herzegovina". Strategic outlines of health system development in the Federation of B&H during the next three years were represented in the document, but in particular within following areas: health care financing, primary health care, specialist-consultancy hospital care, public health, pharmaceutical issues, health information system, and medical education.

[The effect of aluminum on human health].

The paper aims at reviewing recent knowledge of the pathophysiological mechanisms involved in aluminium poisoning which is often manifested as anaemia, osteopathy and encephalopathy. In order to clarify the mechanisms of aluminium toxicity its metabolism and ways of human exposure are also described. The immunosuppressive effect as well as certain anticarcinogenic effects of aluminium are still insufficiently well known.

[The effect of suxamethonium chloride on serum potassium levels during kidney transplantation].

The aim of the investigation was to determine the effect of suxamethonium chloride on potassium concentrations in serum during anaesthesia in renal transplantation. Potassium values were measured before the operation (control values), after the administration of suxamethonium chloride, after reinstatement of the blood flow in the transplanted kidney, and after the operation. The mean potassium values after suxamethonium chloride administration (5.

[Protective effect of zinc in chromium poisoning in rats].

The effect of a toxic trivalent chromium dose on histopathological changes in rat organs was investigated. To evaluate a protective effect of zinc, rats were treated with ZnCl2 two hours before chromium administration. The protective zinc action was best observed in respect to morphological changes in the organs of chromium poisoned rats, particularly in the liver.

[The effects of chromium on human health].

This is a review of studies dealing with the physiological role of chromium in the body and its harmful effects to human health. Trivalent chromium is discussed as a trace element essential to normal metabolism of hydrocarbons and to functioning of some enzymes. Toxic and carcinogenic effects of chromium due to occupational exposure, environmental pollution, food contamination and accidental poisoning are described.

Lactate dehydrogenase isoenzymes in human malignant tumors.

For estimation of the value of Chemetron method for LD isoenzyme separation on cellulose-acetate membranes in cancer tissues taken from corpses, malignant tumors revealed by autopsy were investigated. Overall stability of LD, as well as the maintenance of various forms of isoenzymes in the extracts with regard to post-mortem autolysis in corpse and long periods of freezing, have been demonstrated. No correlation was found between the degree of isoenzyme changes and the histologic grading of tumors.