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Saleha Redžepi, E. Avdagić, Ajša Šahinović, Mirza Pojskić

Visual mental imagery, the ability to generate and manipulate internal visual experiences without direct sensory input, links perception with memory, planning, and higher cognition. In this targeted narrative review, we synthesize neuroimaging and lesion evidence on the brain basis of visual imagery, with a focus on neuroradiological correlates of the ventral and dorsal visual pathways. Unlike prior cognitive neuroscience reviews that primarily emphasize functional mechanisms, this review is neuroradiology-oriented and integrates lesion patterns and white-matter disconnection to support clinico-radiological interpretation of imagery complaints. Using a dual-stream framework, we contrast ventral occipito-temporal systems that preferentially support object imagery (appearance-based features such as form, faces/objects, and color, with texture remaining under-studied) with dorsal occipito-parietal systems that preferentially support spatial imagery (relations, transformations, and navigation). Across studies, imagery recruitment is strongly task- and stage-dependent: ventral regions are most often engaged during object-focused imagery, whereas parietal regions are prominent during spatial transformation tasks, with evidence for interaction between pathways when demands require both content and spatial operations. Structural and clinico-radiological findings indicate that imagery impairment can arise from focal posterior lesions and posterior neurodegenerative syndromes but also from network disruption affecting long-range connections that support top-down access to posterior representations. Finally, emerging work on aphantasia and hyperphantasia supports a network-level view in which imagery vividness relates to how effectively higher-order systems engage visual representations. We conclude that standardized, stream-sensitive tasks and multimodal approaches combining functional and structural imaging with lesion-based evidence are key to discovering clinically actionable biomarkers of imagery dysfunction.

Ghil Schwarz, Angelo Cascio Rizzo, Gareth Ambler, Paweł Wrona, Agnieszka Słowik, Szymonn Kotas, M. Doheim, A. Al-Bayati et al.

BACKGROUND AND OBJECTIVES Contrast-associated acute kidney injury (CA-AKI) is a potentially preventable complication after exposure to iodinated contrast media. In patients undergoing endovascular thrombectomy (EVT) for acute ischemic stroke (AIS), the incidence and clinical impact are poorly characterized, and no validated prediction tool is currently available. The aim of this study was to assess the incidence and prognostic significance of CA-AKI in EVT-treated patients with AIS and to develop and validate a predictive score. METHODS A retrospective, multicenter cohort study was conducted involving EVT-treated patients across 73 centers in 16 countries (January-December 2023). Inclusion criteria were age ≥18 years, absence of dialysis, availability of preprocedural and 48-hour postprocedural creatinine levels, and available 90-day follow-up (modified Rankin Scale [mRS] score). The primary outcome was CA-AKI, defined by KDIGO (Kidney Disease: Improving Global Outcomes criteria;creatinine increase ≥0.3 mg/dL or ≥1.5 times baseline, within 48 hours). Secondary outcomes were (1) in-hospital mortality, (2) 90-day mRS score, and (3) 90-day severe disability or death (mRS score >3). Logistic models assessing associations with outcomes accounted for within-center clustering by applying robust standard errors. CA-AKI prediction models were developed across imputed data sets using univariable selection (p < 0.20), backward elimination (p < 0.05), and coefficient-based scoring after categorization of continuous predictors, with internal validation by bootstrap to obtain optimism-adjusted estimates. RESULTS Among 6,638 patients (median age 74 years; 48.7% male), CA-AKI occurred in 326 (4.9%) and was independently associated with in-hospital mortality (adjusted odds ratio [aOR] 2.269; 95% CI 1.615-3.190), higher 90-day mRS scores (adjusted common odds ratio 1.584; 95% CI 1.110-2.258), and 90-day severe disability or death (aOR 1.530; 95% CI 1.057-2.216). A preprocedural risk model including 12 routine clinical variables-sex, ethnicity, arterial hypertension, dyslipidemia, chronic kidney disease, antiplatelet therapy, NIH Stroke Scale score at admission, serum glucose, estimated glomerular filtration rate, hemoglobin, mean arterial pressure, and IV thrombolysis-demonstrated acceptable discrimination (area under the receiver operating characteristic curve 0.710 [95% CI 0.682-0.738]; precision-recall area under the curve 0.13 [95% CI 0.10-0.16]), good calibration (slope 0.870 [95% CI 0.759-0.928]), good overall performance (Brier score 0.045 [95% CI 0.042-0.049]). A second model that included EVT-related variables (e.g., contrast volume) showed similar performances. DISCUSSION In this large, international cohort, CA-AKI occurred in approximately 1 in 20 EVT-treated patients with AIS and was independently associated with poor outcomes. A simple preprocedural risk score enables early identification of high-risk individuals and may support preventive strategies.

Emir Trnačević, Alma Trnacevic, Mejrema Mahmutovic, Humera Porobić Jahić, Amela Bećirović, Jasmina Selimović

Mirza Baćić, Anja Divković, M. Tabaković, Mithat Tabaković

C-reactive protein structurally belongs to the pentraxin family, calcium-binding proteins with immune defense properties. In the serum of healthy adults and adolescents, there is less than 5 mg of C-reactive protein. Its concentration is increased in inflammatory diseases where values up to 500 mg/l can be found. The main role of C-reactive protein is complement activation and prevention of inflammation. It binds to bacteria or damaged cells and thus helps the activation of the classic complement pathway, opsonization and phagocytosis. Binding depends on calcium. Antibiotics are products of the metabolism of bacteria, fungi and molds, rarely higher plants, which in small concentrations prevent the growth and development of microorganisms or kill them. They belong to the group of antimicrobial drugs, which are used to treat and prevent bacterial infections. Cephalosporins are beta-lactam antibiotics with the same mechanism of action as penicillin, which means that they block the synthesis of the bacterial cell

Halid Junuzović, Melisa Ahmetović, Emina Kovačević, Aida Gogić, Aldijana Mustafić, Sabina Begić, A. Selimović, I. Šestan et al.

The rapid growth of the global population has increased the consumption of chicken eggs, leading to the generation of significant quantities of eggshell waste. The sustainable valorization of this biowaste represents an important environmental and resource management challenge. In this study, CaO was synthesized from waste chicken eggshells via calcination at 800 °C and evaluated as a green precipitating agent for the removal of toxic Pb(II) from aqueous solutions. The effects of key precipitation parameters, including initial pH, stirring speed, contact time, and CaO dosage, were systematically investigated. The results showed that the removal efficiency increased with increasing pH, mixing intensity, contact time, and CaO dosage, reaching a maximum Pb(II) removal of 90% under investigated conditions of initial pH 9, stirring speed of 500 rpm, contact time of 15 min, and CaO dosage of 500 mg. In the presence of the competing ion Fe(III), the removal efficiency further increased to 99.99%, indicating a potential synergistic effect in the precipitation process. FT-IR analysis confirmed the successful formation of CaO and revealed significant spectral changes after Pb(II) precipitation, including shifts and disappearance of characteristic absorption bands, indicating the formation of insoluble hydroxide and carbonate phases. These findings demonstrate that eggshell-derived CaO is an effective and environmentally sustainable material for Pb(II) removal from aqueous media and represents a promising approach for the valorization of eggshell waste.

N. Mihić, Ivan Cavar, Jelena Sulic, Katarina Vukojević, M. Mabić, S. Lakicevic, A. Kvesić

Background/Objectives: Spontaneous intracerebral hemorrhage (sICH) is a particularly severe subtype of stroke, characterized by high rates of mortality and long-term disability, for which robust prognostic markers are still lacking. The aim of this study was to assess the relationship of the ICH score, the National Institutes of Health Stroke Scale (NIHSS) score, and serum high-sensitivity cardiac troponin I (hs-cTnI) levels with 30-day mortality in patients with sICH. Methods: We conducted a prospective observational cohort study enrolling 100 consecutive patients diagnosed with sICH based on neuroimaging findings. Demographic data, clinical parameters, neuroimaging findings, and serum hs-cTnI levels were collected on admission. Subsequently, the ICH score, its individual components, and the NIHSS score were assessed. Results: Patients who died were older and had significantly higher ICH and NIHSS scores, lower Glasgow Coma Scale (GCS) scores, larger hematoma volumes, more frequent intraventricular hemorrhage (IVH), and elevated hs-cTnI levels compared to survivors. Serum hs-cTnI concentrations were significantly correlated with ICH and NIHSS scores, lower GCS scores, larger hematoma volumes, and the presence of IVH. On univariate logistic regression, higher ICH score, NIHSS score, and hs-cTnI level were associated with mortality, whereas multivariate analysis identified the GCS score, hematoma volume, and IVH score as significant independent factors related to fatal outcome. Conclusions: Individual components of the ICH score may provide useful information on outcomes in patients with sICH. Higher serum hs-cTnI levels were associated with 30-day mortality but were not independent predictors. These markers may assist in patient monitoring and support established clinical procedures in therapeutic decision-making. Nevertheless, larger multicenter studies are needed to further clarify their clinical implications in sICH management.

Eric Lim, Shireesha Potla, Jaya A R Dantas, Takeshi Hamamura, Sender Dovchin, Stephanie Dryden, A. Tankosić

Background: Australia’s increasingly multicultural landscape has seen a rise in culturally and linguistically diverse populations, many of whom face subtle and systemic forms of discrimination known as “new racism”. Objective: Underpinned by a person-centred and holistic framework, which recognises individuals as experts in their own lived experiences and emphasises strength-based, culturally situated understandings of well-being, this paper reports on a study that explores how culturally and racially marginalised diverse people in Australia cope with the mental health impacts of new racism. Design: A qualitative descriptive approach was employed in this study. Participants: Thirty participants from ten culturally and linguistically diverse communities participated in eight focus groups, providing rich insights into their lived experiences. Methods: Data were collected through semi-structured focus-group interviews conducted between March and June 2025. Data were analysed using Braun and Clarke’ method of thematic analysis. Results: Thematic analysis revealed four key coping strategies: (1) acceptance of immutable identity traits to foster resilience, (2) emotional ventilation within culturally safe spaces, (3) self-growth and empowerment through reflection and adaptive practices, and (4) assertive responses to racism when necessary. While some participants reported psychological distress, many demonstrated resilience and resourcefulness, challenging deficit-based assumptions often found in the existing literature. Findings underscore the importance of culturally responsive mental healthcare, including peer support, emotional safe spaces, and strength-based interventions. Conclusions: This study offers a holistic understanding of how culturally and racially marginalised people cope with new racism and its mental health impacts. The findings highlight the critical need for person-centred, culturally responsive, and equity-focused mental health support, providing actionable guidance for nursing practice and policy development.

A. Ćutuk, Kristijan Karamatić, P. Bejdić, N. Hadžimusić, E. Šaljić, Bianca Pehar, B. Čengić

Evaluating the somatic cell count (SCC) at the level of the herd or individual cows allows for efficient monitoring of mammary gland health. By analysing SCC, it is possible to identify subclinical cases of mastitis that do not manifest through visible clinical signs on the udder or changes in milk. This study was conducted on a modern dairy farm of the Holstein-Friesian breed in the municipality of Čapljina, Bosnia and Herzegovina. The total number of cows included in the study during 2022 and 2023 ranged between 325 and 335. Milk samples were preserved with azidiol and transported to the laboratory. Milk quality was assessed by determining the SCC in milk using the Fluoro-opto-electronic method, and by analysing the fat, protein, and lactose contents. The devices used in the study were CombiFoss 6200 – MilkoScan FT and Fossomatic FC 6000. A strong positive correlation was found between SCC and milk proteins, but not with milk fat. A significant negative correlation was found between SCC and lactose. There was no significant difference in the number of somatic cells by year, although there was a significant difference by season within the studied years. Winter stands out as the season with the lowest SCC, followed by spring and summer, while autumn had the highest count. Autumn also showed the largest oscillations in SCC, while spring had the smallest. Somatic cell counts over 200,000/mL were recorded from July to December 2022 and from May to November 2023. Zoohygiene conditions and milking hygiene measures should be additionally adjusted in summer and autumn to maintain the desired standards achieved in winter and spring.

Milica Zdravković, V. Grekulović, Nada Štrbac, Edina Huseinović, M. Gorgievski, Miljan Marković, Kristina Božinović

This study investigates white willow bark extract (WWBE) as a potential corrosion inhibitor for Cu-DHP in a 0.5 M NaCl solution, using a non-destructive electrochemical methods, namely electrochemical frequency modulation (EFM), and electrochemical impedance spectroscopy (EIS). Electrolytes consisted of 0.5 M NaCl solutions both with and without the addition of WWBE (0.1–0.5 g l −1 ). The 0.5 M NaCl solution containing 0.5 g l −1 WWBE, both in the presence and absence of a copper plate, was analysed by ultraviolet-visible spectroscopy (UV-Vis). The experiments were conducted at room temperature. The EFM results indicated that WWBE functioned as a cathodic copper corrosion inhibitor, with the highest inhibition efficiency observed for the 0.5 M NaCl solution containing 0.5 g l −1 WWBE. The EIS results suggested the formation of a protective WWBE inhibitor film. The corrosion process was diffusion-controlled, both with and without the addition of WWBE. Both electrochemical methods demonstrated that WWBE adsorbed onto the copper surface in 0.5 M NaCl solution via physisorp-tion, following the Langmuir adsorption isotherm. The Gibbs free energy values of adsorption were similar for EFM and EIS. The UV-Vis results showed that immersion of copper in an electrolyte containing 0.5 g l −1 WWBE for 24 h led to a change in the absorbance maximum, indicating the formation of a copper–WWBE complex. Overall, the results indicate that WWBE is an effective inhibitor of copper corrosion in chloride conditions. Further research will focus on the identification of compounds and organometallic complexes in WWBE and their individual effects on the corrosion process.

Aldijana Kadrić, E. Rovčanin, Damir Čelik, Dževad Vrabac, Đemil Omerović, Ena Gogić, Amir Merdović, S. Šabanagić-Hajrić et al.

significant median increase was also observed in proximal (z = -3.408, p < .001) and distal tibial M wave amplitude (z = -3.409, p < .001).

Naida Omerović Ćorović, T. Bego, Nermina Žiga Smajić, Halil Ćorović, Selma Škrbo

Introduction : Drug–drug interactions (DDIs) influence treatment outcomes, particularly in complex diseases such as coronavirus disease 2019 (COVID-19). This study aimed to evaluate the impact of DDIs in COVID-19 patients. Materials and methods : A study was conducted on 200 patients with mild, moderate, or severe COVID-19 infections. Next, DDIs were classified into five risk categories (A–X). Results : Altogether, 1689 DDIs were identified (maximum of 64 per patient). Most interactions were category C (65.3%). Clinically significant DDIs (C–X) accounted for 73.6% of interactions. Positive correlations were found between the total number of DDIs and both the total number of drugs (very strong) and comorbidities/diagnoses (strong). Patients with severe COVID-19 infections had significantly more DDIs and drugs used. Polypharmacy was highly frequent (97.5%, average of 9.9 drugs per patient). Conclusion : Overall, COVID-19 patients often have clinically significant DDIs resulting from polypharmacy and comorbidities, especially in severe cases. Systematic DDI assessment is essential.

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