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This paper examines atmospheric concentrations of particulate matter with an aerodynamic diameter smaller than 10 μm (PM10) and related particle-phase toxic heavy metals Cd, Ni, and Pb during domestic heating seasons from 2010 to 2019 in Sarajevo, Bosnia and Herzegovina. In total, 242 daily PM10 samples were collected using medium and high volume air samplers. The mean daily PM10 mass concentration for all measurements is 75.16 μg/m3 (with the range of 28.77–149.00 μg/m3). Variation of ambient PM10 was observed throughout the study in different years. Hourly values for PM10 measurements during two heating seasons are also presented. Metal concentrations in PM10 were analyzed by electrothermal atomic absorption spectrometry (ETAAS). Quantities of atmospheric mass concentrations of studied trace metals were observed in the following order: Pb > Ni > Cd. The mean concentrations of metals varied with Pb showing the highest concentration (ranging from 1.38 to 234.00 ng/m3), Ni ranging from 0.87 to 42.43 ng/m3, and Cd showing the lowest concentration ranging from 0.26 to 10.09 ng/m3. The concentration of Pb and Cd in PM10 was strongly correlated, suggesting a common source or dependence of these metals in PM10 in Sarajevo. Bioaccessibility of metals in the synthetic gastric juice was also estimated. The quantities of average bioaccessible metal fractions in PM10 samples showed the following trend: Cd > Pb > Ni. The health risk assessment shows that the population of Sarajevo is at increased lifetime risk of experiencing cancer because of exposure to these Cd concentrations in PM10. In addition, parallel PM10 sampling on two samplers showed that obtained results are highly comparable.

Background: Compression of the ulnar nerve at the level of Guyon’s canal is a very rare compressive neuropathy. Due to the vast range of symptoms that can manifest depending on the degree of ulnar nerve compression, the clinical picture is not consistent. Objective: The aim of the study is to outline the diagnostic techniques and therapeutic options. Case report: We reported a case of ganglion cyst-induced compression of the ulnar nerve in Guyon’s canal. A 45-year-old female patient underwent surgical ulnar nerve release in Guyon’s canal at the Clinic for Plastic and Reconstructive Surgery. Discussion: After a thorough medical history and physical examination, the diagnosis of the syndrome is made, and ultrasound and magnetic resonance imaging (MRI) testing are used to determine the origin of the neuropathy. A ganglion cyst was identified pathohistological one month following the surgical excision of the soft tissue tumor. In order to hasten the patient’s nerve recovery, physical therapy was recommended, and the patient was monitored for the following two years. After two years of treatment, the patient has made a very good recovery of the functionally damaged hand, as determined by a modified Bishop scoring method for evaluating functional ulnar nerve recovery. Conclusion: In virtually all cases, early surgical intervention can lead to an outstanding functional recovery. If the symptoms are more severe and continue or get worse for more than three months, early surgical intervention is the gold standard for treating Guyon’s canal syndrome. If soft tissue formations are compressing the ulnar nerve in Guyon’s canal, MRI is thought to be the gold standard for diagnosis.

Introduction: Rhinoplasty is an esthetic and functional nasal reconstruction surgery. The elimination of physical disabilities directly affects mental health and leads to a better psychological balance. Therefore, patient satisfaction is considered a valuable measure of medical service outcomes. The objectives of this study were to evaluate subjective patient satisfaction 1 year after surgery and its influence on the quality of life.Methods: This was a clinical, retrospective, randomized, and single-blinded study in which patients were randomly questioned by the same examiner. All subjects underwent pre-operative preparation and post-operative flow at Eurofarm Centre from 2007 to 2010. The survey was conducted through anonymous questionnaires that were provided to each respondent at least 1 year after discharge from the hospital.Results: Overall, 20 (50%) patients had esthetic and 20 (50%) had functional nasal surgery. Most respondents were born between 1971 and 1980 (52.5%) and between 1981 and 1991 (40%), with the least born between 1951 and 1960 (2.5%). Regarding the education level, 27 had university degrees (67.5%), 1 had postgraduate education (2.5%), and 12 (30.0%) were secondary school graduates. In addition, 25 (62.5%) were unmarried and 15 (37.5%) were married.Conclusion: No statistically significant correlation was found between the subjective assessment of patient’s health based on eight dimensions of health assessment and variables such as type of surgery, age, level of education, and marital status 1 year after undergoing rhinoplasty. A statistically significant difference was found between the type of surgery and physical pain (p = 0.004 < 0.05, Mann–Whitney U test). Based on the research findings, we can conclude that patient satisfaction after undergoing rhinoplasty was moderately correlated positively with the quality of life (r = 0.180-0.345, p < 0.05).

We present a management, of posttraumatic posterior heel defects through a study carried out in 50 cases from January 1995 to January 2008 at the Plastic and reconstructive and Orthopedic - traumatology Clinic of the University Clinic Center Sarajevo. Isolated injuries (injuries only over the posterior heel) were present in 39 patients (78%) and combined injuries (injuries to posterior heel and surrounding regions) in 11 patients (22%) Patient's data including age, sex, side of injury, mode of injury, extent of injury (isolated or combined), if combined whether involving the weight-bearing part of heel, type of wound, management of wound, wound healing time and complications were noted. Criteria that were used for the selection of method of reconstruction in our study are; size of defect, location of the defect, complexity of the injury i.e. exposed bone or tendoachilles, extent of the zone of trauma. Pre-operative Doppler study was done in all patients. We covered these with various flaps depending upon the defect size, its exact location, associated injuries, extent of zone of trauma, and complexity of the defect. The aim was to select the most suitable method for soft tissue coverage for posterior heel reconstruction. On long-term follow-up of the patients, we did not find any recurrent ulceration in the patients having isolated posterior heel injuries. In patients having combined injuries, two in which cross-leg flap was done, patients had episodes of trophic ulceration that were treated with conservative management with dressings and modification of footwear.