The aim of this retrospective study was to show the effect of clinical, pathologic, cytologic and therapeutic prognostic factors on treatment outcome and survival of patients suffering from vulvar cancer and to determine prognostic...

Background and Objectives: The aim of this retrospective study was to determine the difference in VEGF-A expression in adenocarcinoma and squamous cell cervical cancer and to show the influence of VEGF-A expression on clinical, pathological, and therapeutic prognostic factors on the outcome of treatment and the survival of patients. Materials and Methods: The study included patients with cervical cancer who were treated in the period from 1 January 2010 to 31 December 2021 at the Clinic for Gynecology and Obstetrics, University Hospital Centre, Osijek. The researchers conducted a retrospective analysis of data from patients’ medical history, along with the pathohistological findings and oncologist findings. The study included 66 patients with cervical cancer (divided into two subgroups of 33 with adenocarcinoma or squamous cell cervical cancer). Diagnosis was based on the pathohistological status and FIGO staging. VEGF-A expression was significantly higher in adenocarcinoma. Subjects with a higher expression of VEGF-A had a significantly higher rate of disease progression and a higher possibility for lethal outcome. Results: Statistically significant prognostic factors in bivariate analysis in predicting a negative treatment outcome were: older age, greater depth of stromal invasion, FIGO IIB stage, chemotherapy, and positive lymph nodes. In the multivariate analysis, age and positive lymph nodes were shown to be significant predictors for a negative treatment outcome. Conclusions: VEGF-A has shown to be statistically more expressed in adenocarcinoma, which correlates with disease progression, but not statistically significant in multivariate regression analysis as an independent prognostic factor for poor survival of the subjects.

The aim of this study was to measure the concentrations of As, Cd, Hg, Pb, Cr, Cu, Fe and Zn in the muscle, liver and kidney of wild boar (Sus scrofa) in Papuk Nature Park, Eastern Croatia. Muscles, liver and kidney of 38 wild boars, up to 3 years of age, were collected and the concentrations of elements were determined by ICP-MS. Cadmium exceeded the permitted levels acceptable for human consumption in 50% of kidney samples (max. = 6.64 mg kg⁻¹), 20% of liver samples (max. = 4.60 mg kg⁻¹) and 43% of muscle samples (max. = 0.672 mg kg⁻¹). Lead exceeded acceptable levels in 63% of liver samples (max. = 0.463 mg kg⁻¹), 51% of kidney samples (max. = 11.8 mg kg⁻¹) and 65% of muscle samples (max. = 9.10 mg kg⁻¹). Mercury concentrations in the liver were higher than allowed in 13% (max. = 0.552 mg kg⁻¹) in kidneys in 27% (max. = 0.484 mg kg⁻¹), and in the muscles in 15% (max. = 0.103 mg kg⁻¹) of cases. Arsenic concentrations in muscles exceeded the permissible value in 30% of cases (max. = 0.286 mg kg⁻¹). The concentrations of Cr, Cu, Fe and Zn did not significantly differ from the values reported in other studies. Median concentrations of Cr, Cu, Fe and Zn ranged as follows: muscle (0.193, 2.94, 44.5 and 20.6 mg kg⁻¹), kidney (0.140, 5.32, 110 and 23.3 mg kg⁻¹) and liver (0.130, 3.71, 278 and 36.0 mg kg⁻¹).

The problem of elevated arsenic concentrations in water and environment is an increasing public health concern. The aim of the study was to assess the arsenic content in human hair in selected areas of eastern Croatia and to compare them with measured values after installation of a new water supply system. The hair samples were taken in the areas of wider Osijek and Vinkovci area and analyzed using the ICP–MS method. These data were also compared with data for Vinkovci previously published in 2004. Depending on the investigated area, the median concentrations ranged from 0.02 to 0.9 µg g⁻¹, whereby this last value exceeded the upper range of the reference value (0.319 µg g⁻¹). The arsenic concentrations from the Našice, Osijek and Vinkovci areas were within or slightly above the maximum allowed reference range. The highest median values in hair samples were detected in Čepin, with arsenic-contaminated potable water, while in areas where the water source was changed, the values were significantly lower. The results add to the conclusion that there has been significant reduction in hair arsenic concentrations in the population that was given access to clean, uncontaminated water from other regional sources.

This is the first study on concentrations of war related elements in dandelion from war effected areas of Croatia. Previous research done on human subjects, soil and water has shown abnormalities in distribution of war associated metals and metalloids in war affected areas compared with peacetime locations. Dandelion, as wide spread perennial herb, is considered as very useful plant in determination of trace elements pollution in various ecosystems. Aim of the research was to try to determine whether concentrations of war related elements (Al, As, B, Ba, Cd, Co, Cr, Cu, Fe, Hg, Li, Mg, Ni, P, Pb, Sb, Si, Sr, U, V and Zn) concentrations in dandelion (Taraxacum officinalle) samples in areas of high intensity of combat activities differ from areas of low intensity of combat activities, and to clarify possible contamination in dandelion as an indicator (and edible) plant with it's role in food chain. Leaves of the dandelion were taken at locations (28 locations at 11 settlements) were divided into two major subgroups: high and low intensity of combat activities, at the locations of major explosions, former minefields, army trenches … Analysis was done using ICP-MS and data was interpreted using Mann Whitney test and PCA. Results have shown that there is difference in concentration of war related elements among different locations, with generally, higher concentrations of war elements in war areas compared with control group. Maximum concentrations of As, B, Ba, Cd, Co, Cr, Cu, Li, Mg, Ni, P, Pb, Sb, Si, Sr, U, V and Zn were higher in areas of high intensity of combat activities. When results are compared with similar researches, overall presence of metals and metalloids is legally acceptable, however, there are differences in concentrations between war and peacetime locations.