Association between Duration of Dialysis and Helicobacter Pylori Infection in Dialysis Patients at the University Clinical Hospital Mostar.

INTRODUCTION: Association of Helicobacter pylori (HP) infection with the length of dialysis in dialysis patients is contradictory. This study was conducted in order to determine the association between the duration of dialysis and the HP infection status in the dialysis patients. Furthemore, biochemical parameters were monitored in two subject groups that were included in this study. SUBJECTS AND METHODS: The study included 51 patients on chronic hemodialysis program who had gastrointestinal symptoms. The subjects were divided in two groups per the length of dialysis treatment. In this study we analyzed age, gender, the time period since the onset of the chronic hemodialysis program, body mass index, biochemical parameters, and whether the patients have arterial hypertension and/or diabetes. The presence of HP antigen was determined in the stool samples with use of he UlcoGnost AG test plate. RESULTS: The incidence of HP infection in hemodialysis patients, with some of the gastrointestinal symptoms, was 25.5%. Patients on hemodialysis for less than 24 months had lower incidence of HP infection than those on hemodialysis program for more than 24 months. HP positive and HP negative subjects were also compared by gender, age, biochemical parameters and body mass index. There was no statistical significant difference between the groups in any of those characteristics. When comparing the HP status of the subjects with the presence of arterial hypertension and diabetes, no statistically significant difference was found between the groups. CONCLUSION: This study showed negative correlation between HP infection and the length of hemodialysis program. Analysis of age, gender, body mass index, biochemical parameters, presence of arterial hypertension and/or diabetes showed no statistically significant difference was found between the hemodialysis patients who were HP positive and those who were HP negative. Additional studies are needed to elucidate the correlation mechanism between the HP infection and the duration of dialysis, in order to examine how long the dialysis time period is the most susceptible to HP infection, and then to improve the prognosis of patients with renal disease.

Inappropriate Use of Topical Corticosteroides in the Dermatology Outpatient.

INTRODUCTION: Topical corticosteroids are group of drugs which have anti-in?ammatory, immuno-suppressive, anti-proliferative and vasoconstrictive effects and are among the most commonly prescribed medication, important and efficacious for management of various dermatological disorders. Strict implementation of the existing regulations is the need of the hour to prevent their widespread abuse. Aim of the study was to investigate the usage of topical corticosteroids therapy with the recipe of a doctor and without it. SUBJECTS AND METHODS: The subjects were patients who visited Pharmacies in Mostar from April to July 2020 and were buying topical corticosteroids with or without a recipe or medical report from the doctor. 80 subjects completed a questionnaire themselves included: the way of buying a topical corticosteroids, the information about using topical corticosteroids earlier, the information about subject's visits to the doctor; the length of time using topical corticosteroids, the type of topical corticosteroids used, the part of body the topical corticosteroids was applied on. RESULTS: A total of 80 subjects were treated in the observed period, 58.8% were female. 72.5% subjects had already used local corticosteroids, 62.50% purchased the drug at the recommendation of the pharmacist, 66.30% had no recent diagnosis or no diagnosed disease at all, 21.25% used the drug for more than a month, the most often purchased one was moderate potent local corticosteroid Betamethasone diproprionate 0.05%. Most commonly subjects applied local corticosteroids on arms (50%). CONCLUSION: Strict regulations regarding only prescription-based dispensing of local corticosteroids must be put into practice. This will hopefully bring down both the extremes of ever increasing cases of steroid-induced dermatoses in everyday dermatology practise on one hand and the irrational fears of using TCs in well justified indications on the other.

Physiological and Anthropometric Determinants of Performance Levels in Professional Futsal.

There is an evident lack of studies examining the pursuit of excellence in futsal. The aims of this study were to evaluate anthropometric and physiological variables that may contribute to distinguishing among performance levels in professional futsal players and to evaluate correlates of those variables. The participants were 75 male professionals (age = 25.1 ± 5.1 years, body height = 182.3 ± 6.2 cm, body mass = 80.8 ± 10.4 kg), who were divided into performance levels using two criteria: (i) starters (first teams) vs. non-starters (substitutes) and (ii) top-level players (members of the national team and players who participated in top-level team competition in Europe) vs. high-level players (team players competing at the highest national competitive rank). Variables included anthropometrics (body height and mass, BMI, body fat percentage), generic tests of physiological capacities [5- and 10-m sprints, countermovement jump, broad jump, 20-yard test, reactive strength index (RSI)], and futsal-specific fitness tests [kicking speed by dominant and non-dominant leg, futsal-specific tests of change of direction speed, and reactive agility (FSRAG) involving/not involving dribbling the ball]. Top-level players outperformed high-level players in RSI, broad jump, kicking speed, and FSRAG involving dribbling. Starters achieved better results than non-starters in fewer variables, including kicking speed and RSI. Body fat percentage negatively influenced FSRAG involving dribbling, and RSI. FSRAG, RSI, and kicking speed were significantly correlated, indicating the similar physiological background of these capacities. The findings suggest that enhanced reactive strength and the ability to rapidly change direction speed in response to external stimulus while executing futsal-specific motor tasks (e.g., dribbling), along with players' ability to kick the ball speedily, can be considered essential qualities required for advanced performance in futsal. Consequently, futsal strength and conditioning training should be targeted toward lowering relative body fat, maximizing lower-body reactive strength and including futsal-specific skills (e.g., dribbling, shooting) in reactive agility drills.