Background Chest drain management has a significant influence on postoperative recovery after robot-assisted minimally invasive esophagectomy (RAMIE). The use of chest drains increases postoperative pain by irritating intercostal nerves and hinders patients from early postoperative mobilization and recovery. To our knowledge, no study has investigated the use of two vs. one intercostal chest drains after RAMIE. Methods This retrospective cohort study evaluated patients undergoing elective RAMIE with gastric conduit pull-up and intrathoracic anastomosis. Patients were divided into two groups according to placement of one (11/2020–08/2022) or two (08/2018–11/2020) chest drains. Propensity score matching was performed in a 1:1 ratio, and the incidences of overall and pulmonary complications, drainage-associated re-interventions, radiological diagnostics, analgesic use, and length of hospital stay were compared between single drain and double drain groups. Results During the study period, 194 patients underwent RAMIE. Twenty-two patients were included after propensity score matching in the single and double chest drain group, respectively. Time until removal of the last chest drain [postoperative day (POD) 6.7 ± 4.4 vs. POD 9.4 ± 2.7, p = 0.004] and intensive care unit stay (4.2 ± 5.1 days vs. 5.3 ± 3.5 days, p = 0.01) were significantly shorter in the single drain group. Overall and pulmonary complications, drainage-associated events, re-interventions, number of diagnostic imaging, analgesic use, and length of hospital stay were comparable between both groups. Conclusion This study is the first to demonstrate the safety of single intercostal chest drain use and, at least, non-inferiority to double chest drains in terms of perioperative complications after RAMIE.

Purpose. The aim of the paper is to examine whether – and to what extent – the concept of Media and Information Literacy (hereinafter: MIL) can be understood as a possible approach to critical pedagogy in practice by examining the adequacy and comprehensibility of the content of its curriculum, previously adapted to the BiH (Bosnian and Herzegovinian) context and its fragmented education system. Approach/methodology. The first part of the paper presents a brief framework of the concept of critical pedagogy, its relationship with media and information literacy, together with the specifics of the education system of Bosnia and Herzegovina. In the second part, the paper focuses on the case study of pilot training conducted at the Sarajevo Hasan Kikić elementary school, aiming to acquaint teachers and librarians with the concept and curriculum of MIL. Results. Although teachers and librarians have adopted skills to teach about MIL, the results point to a lack of emancipatory pedagogical practices in the existing education system which could counter various, primarily systemically produced forms of oppression. Originality/value. The value of this paper reflects the efforts to read the concept of MIL through the theoretical lenses of critical pedagogy. Although based on the 2011 UNESCO’s understanding of MIL, the originality of this approach also lies in the fact that the conducted workshops were set down on its curriculum adapted to the Bosnian and Herzegovinian context. Practical implications. The practical implications of this research could be seen through the further processes of researching and promoting collaborative teaching and learning, encouraging thus the development of critical thinking, and thinking individuals capable of combating domination and transforming reality through pedagogy. Social implications. Incorporating critical pedagogy while reading the adapted MIL curriculum can be used for promoting a comprehensive and active role of re-creating knowledge, enabling practices of critical attitude towards the existing social reality, and promoting and strengthening democratic practices.

Protests among citizens of Bosnia and Herzegovina are becoming more frequent. Most often, their aim is to decry the dysfunctionality and opacity of the government, which are the result of the ethno-political structure created by the Dayton Agreement, but also a trend towards democratic regression and autocracy. A number of authors have tackled the ?JMBG? protests of 2013 and the Plenums that emerged from the February 2014 protests, from their particular disciplines. The focus of this paper is the social movement ?Justice for Dzenan,? organized by the Memic family upon the tragic death of Dzenan Memic in Sarajevo in February 2016. An in-depth study was conducted with key actors of the movement, as well as those who follow or in some way support the protests. Particular emphasis in the research was paid to the pragmatic symbiosis of the social movement and one political party. We argue that it is possible to identify a pragmatic symbiosis as a novel form (democratic innovation) of socio-political cooperation that can impede rising autocratization. Through the quest for accountability, social movements are introducing new strategic practices of mobilization and a novel type of alliance-building with external factors (new political parties as well as other social movements). The goal of the paper is to explore how the social movement ?Justice for Dzenan? interacts with political parties and approach the political sphere in BiH. Also, the idea is to examine the possibilities and functionality of this kind of cooperation with the framework of contentious politics.

Ovim radom ispituje se da li i na koji način politički poredak u Bosni i Hercegovini determiniran logikom etnopolitike sadrži i producira subverzivni potencijal za vlastitu negaciju. Ideja se postepeno javljala u kontekstu različitih protesta u proteklih pet godina, ali se kao naučno pitanje ozbiljnije oblikovalo tek stapanjem protesta “Pravda za Dženana” i “Pravda za Davida” 2018. godine. Kroz proteste se od jedinstvenog matičnog broja i zdravstva preko radničkih prava i demobilisanih boraca kao politiziranih tijela par excellence pa sve do institucionalizirane instrumentalizacije smrti uočava izražena biopolitička dimenzija sa potpisom etnodeterminizma. Politološkim čitanjem odnosa između kontrahegemonijskih narativa odozdo i njihove sve vidljivije kriminalizacije odozdo, autor problematizira kako ono što se ovdje naziva biopolitikom etnodeterminizma producira narativ otpora kao mogućnost koja osvjetljavanjem naličja samog sistema dovodi u pitanje osnovu njegove legitimacije.

The aim of this paper is to question the relationship between power and new social realities, as well as new forms of domination that occur in democratic societies. The author starts from the assumption that power in modern liberal democracies is dispersed out of politics, leaving behind depoliticized space of politics through which the hegemonistic order achieves its domination. The paper does not aim to question the possibilities of overcoming such a domination. By analysing the relations between them it seeks to make visible the reverse of the dominant ideology and its functioning, as well as the possibilities of understanding and studying power in the era of post-politics and multiverse of power.

Uvod: Pretilost je vrlo kompleksna multifaktorska bolest koja se razvija pod utjecajem genetskih i metaboličkih čimbenika, okoliša, socijalne i kulturološke sredine, te nepoželjnih životnih navika. Prilikom liječenja pretilosti postoji visoka stopa neuspjeha te se ulaže znatan trud u razvoj djelotvornih programa budući da je poznato kako većina pretilih osoba nažalost ne zadržava novostečene životne navike te kod znatnog broja sudionika dolazi do ponovnog povećanja tjelesne mase. Cilj: Cilj ovog posebno osmišljenog programa bio je educirati pretile pojedince odrasle dobi o osnovnim načelima pravilne prehrane i važnosti tjelesne aktivnosti te o rizicima koji nastaju kao posljedica prekomjerne tjelesne mase. Učinkovitost programa u smanjenju tjelesne mase i smanjenje rizika za čimbenike kao što su povišeni kolesterol, šećer i krvni tlak su ispitivani u ovom radu. Materijal i metode: U programu ''10 dana do boljeg zdravlja'' je uključeno 104 pretilih ispitanika, od toga 85 ispitanika ženskog spola, te 18 ispitanika muškog spola, starosne dobi iznad 45 godina. Program se odvijao u malim grupama od 10 do 15 polaznika. Rezultati: Statistički značajna razlika prvog i desetog dana je utvrđena za tjelesnu masu, ITM (indeks tjelesne mase), % masnog tkiva, vrijednost sistoličkog krvnog tlaka, opseg struka i bokova, te omjer opsega struka i bokova, dok za vrijednosti glukoze, kolesterola i dijastoličkog krvnog tlaka nakon deset dana programa nije utvrđena statistički značajna razlika. Zaključak: Iako je zbog vremenskog ograničenja trajanja programa ''10 dana do boljeg zdravlja'' izostao značajan učinak na promatrane parametre metaboličkog sindroma, ispitanicima su sudjelovanje u programu, osvještavanje čimbenika rizika te interakcija samih sudionika podloga i poticaj za daljnju promjenu životnih navika u cilju smanjenja rizika.

Introduction: Obesity in children is becoming from year to year enormous medical and socio-epidemilogical problem according to increasing number of overweight and obese children. Overweight and obesity in children mostly affects on cardiovascular, respiratory and endocrine system disturbances. Adenoidectomy and adenotonsillectomy belong to group of most often done operation in children population. Anesthesiology complications during adenodecotomy and adenotonsillectomy in children are known as very disturbing and dramatic. Methods: Retrospective-prospective study includes 162 children, both genders, 3 to 12 years old, who are hospitalized and operated (adenoidectomies and adenotonsillectomies) on Otorihinolaryngolic clinic of University clinical centre Tuzla in the four year period. Purpose of the study is to show the influence of overweight in children on appearance of anesthesiology complications such as difficult intubation, bronchospasm and laryngospasm. Body mass index (BMI), which is used as universal measure, is adapted with gender specific scales of National statistic centre of United States of America. All children with BMI over 25 are referred as overweight and those over 30 as obese. These children categories were compared to those with normal BMI according to anesthesiology complications incidence. Results: Overweight in operated children is noticed in 21%, and 11% of children was obese and there wasn’t distinction between boys and girls. Anesthesiology complications are evaluated in 12 of them (7.4%). Total analyzed sample show significant connection and influence of overweight with appearance of anesthesiology complications. Separate comparison for two types of operations is indicating that during adenoidectomies there hasn’t been noticed connection between overweight and anestehesiological complications, while in case of adenotonsillectomies direct and significant correlation is proven. Conclusions: According to increased risk of anesthesiology complications in overweight and obese children during adenodectomies and adenotonsillectomies it is important for anesthesiologists to do much serious preoperative evaluation of obese children, and to be more prepared for every of possible unwished supersize during perioperative period.

Background. The role of multivisceral resection, in the setting of locally advanced gastric cancer, is still debated. Previous studies have reported a higher risk for perioperative morbidity and mortality, with limited objective benefit in terms of survival. Patient. A male patient, 55 years old, was admitted to the clinic of surgery for surgical treatment of bleeding gastric ulceration. Preoperative diagnostic evaluation was performed, and patient had undergone a surgical treatment which revealed a large mass in head of the pancreas, infiltrating the hepatoduodenal ligament and transverse mesocolon. Total gastrectomy, duodenopancreatectomy, and right hemicolectomy were performed. The digestive tube continuity was reestablished by deriving the double Roux limbs. Conclusion. The aim of this case presentation is to demonstrate a method of digestive tube reconstruction by performing the double Roux-en-Y reconstruction in advanced gastric cancer when the multivisceral resection is performed.

Introduction: Pancreatic injuries are not common after blunt and penetrating trauma, but can be challenging to diagnose and manage. Case report: Twenty-three year old man, injured during a fall from a motorcycle two days earlier, was admitted to Department of Surgery, University Clinical Centre Tuzla because of suspicion of pancreatic trauma. Immediately after hospitalization, patient underwent laboratory and radiological tests that revealed the existence of pancreatic trauma, so we opted for urgent surgical treatment. Surgery and early postoperative course were normal and the patient was discharged on the ninth postoperative day. Conclusion: Proper diagnosis and well-selected surgical treatment significantly increases the chances for recovery of these patients.

Although laparoscopic cholecystectomy has become a gold standard in treatment of symptomatic cholelithiasis, it is associated with higher risk of intraoperative lesions and primarily lesions of biliary ducts. In small percentage of cases biliary fistulas occur, most commonly after leakage from cystic duct stump or accessory bile ducts – Luschka’s duct. We report of a patient who had episodes of abdominal pain following routine laparoscopic cholecystectomy for acute calculous gallbladder. Results of conducted diagnostics verify the presence of biliary fistula caused by obstruction of bile pathways by stagnant pus and microcalculi of common bile duct, with development of biloma presumably caused by pressure injection of contrast material during ERCP procedure. Endoscopic sphincterectomy via ERCP enabled healing of formed biliary fistula, whilst continuous percutaneous ultrasound guided drainage of biloma was method of choice in later treatment of our patient. It is important to note that diagnostic evaluation of biliary fistula is very challenging and that timely nonsurgical treatment is of great benefit for patient.