To determine the efficiency of regional and local government public functions, the most used method in the empirical analysis is data envelopment analysis. This paper reviews 20 counties as part of regional government units in Croatia as well as the relationship between efficiency scores and exogenous determinants in the 2009-2016 period. The results of our analysis show that, among exogenous determinants, only the annual registered unemployed rate and annual average wage for full time jobs are statistically significant.

Production of free oxygen radicals in greater volume than it is possible for human organism to neutralize, can affect quality of sperm. Reactive oxygen species (ROS) have an effect on mobility of human spermatozoids by changing the structure of membrane and the function of mitochondria, where they are primarily generated. This can affect DNA integrity of spermatozoids and compromise their vitality. Seven male patients, in age between 27 and 44, were examined by standard semen analysis, nitroblue tetrazolium (NBT) assay and sperm vitality test based on eosin and nigrosin staining. From patients with positive NBT test, 40% of the patients had normal spermiogram results, while 60% of them had decreased sperm concentration, motility, or both of these parameters below the referent value. In 20% cases the output of eosin-nigrosin test was below 58%. The NBT test and eoisn-nigrosin test are simple, effective and available tests which can help in better diagnosis of male infertility and should be integrated in routine

This paper investigates the impact of accidental release of propane gas in surrounding areas consequences of propane gas leak studying the negative effects on both the environment and individuals. Subject of the research is impact of accidental release of propane gas in in business zone “Ramići-Banja Luka”, Banja Luka. The ALOHA software has been used in this paper to modelling of propane release. The modelling was performed for an accidental release of 4,000 kg propane from unsheltered single storied for one hour. For a typical average atmospheric condition in location, this accidental propane release would cause a red zone of 101 metres (AEGL-3=33,000 ppm), orange zone of 159 metres (AEGL-2=17,000 ppm) and yellow zone of 324 metres (AEGL-1=5,500 ppm) to downwind from the source.

Patients with relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL) may benefit from salvage chemoimmunotherapy (CIT). To explore further the use of CIT in the pre-novel agent era, ECOG-ACRIN undertook a phase 2 trial (E2903) for R/R CLL utilizing pentostatin, cyclophosphamide, and rituximab (PCR) followed by a consolidation course of alemtuzumab. This trial enrolled 102 patients with a median age of 64 years. Treatment consisted of 6 cycles of PCR followed by alemtuzumab for either 4 or 18 weeks depending on the initial response to PCR. The overall response after PCR (complete remission, CR, nodular partial remission, nPR, and partial remission, PR) was 55%. Major responses (CR or nPR) were achieved in 6%. The median overall survival (OS) and the median progression-free survival were 28 and 12 months, respectively. The most serious nonlethal adverse events were myelosuppression, febrile neutropenia, fatigue, nausea, and hyponatremia. PCR is an effective and well-tolerated nucleoside-based regimen for heavily pretreated CLL patients with R/R disease. The addition of alemtuzumab to CLL patients with a minor response (PR) or stable disease did not result in a significant number of higher responses (CR or nPR) nor an improvement in OS.

Prema hipotezi zamisljenog kontakta dovoljna je samo vizualizacija socijalnog kontakta pozitivnog tona prema vanjskoj grupi kako bi doslo do promjene u negativnim stavovima. U ovom je istraživanju ispitivana uloga kapaciteta radnog pamcenja u zamisljenom kontaktu. Provedene su dvije studije. U prvoj je, kvazieksperimentalnoj studiji, pokazano da osobe koje imaju manji kapacitet radnog pamcenja imaju negativnije opise zamisljenog kontakta i negativnije stavove prema vanjskoj grupi u odnosu na osobe veceg kapaciteta radnog pamcenja. Druga, eksperimentalna studija, prosirila je nalaze prve studije te je pokazano da su osobe koje su neposredno pred zamisljanje kontakta s clanom vanjske grupe imale dodatno opterecenje radnog pamcenja posljedicno imale negativnije opise zamisljenog kontakta i negativnije stavove prema clanovima vanjske grupe nego skupina ispitanika koja nije imala dodatno opterecenje radnog pamcenja. Medijacijska analiza potvrdila je hipotezu da je (ne)mogucnost održavanja pozitivnog tona zamisljene interakcije mehanizam koji uvjetuje uspjesnost zamisljenog kontakta na smanjenje negativnih stavova. Nalazi obiju studija upucuju na to da je kapacitet radnog pamcenja jedan od faktora koji uvjetuje uspjesnost intervencije zamisljenim kontaktom. Dobiveni rezultati otvaraju nova pitanja o efikasnosti zamisljenog kontakta u promjenama stava.

Small and medium-sized enterprises account for over 99% of active businesses inBosnia and Herzegovina, and face a number of limitations when performing theirbusiness activities. A number of those limitations relate to the nature of small andmedium-sized enterprises, but most are due to the inadequate legal and regulatoryframework for doing business. A disincentivised business environment and lack ofa unified economic policy and sector strategies further complicate the position ofsmall and medium-sized enterprises. The aim of this paper is to show the limitationsfaced by these companies. To this end, an investigation involving 119 small and medium-sized enterprises in Bosnia and Herzegovina was conducted.Convenience sampling was used in the research. Based on the survey, it is evidentthat respondents rated the tax burden factor (the tax structure and taxation process)the most problematic. This finding corresponds with Doing Business’ 2019 surveyresults.A section of this paper is devoted to the fiscal aspect of doing business: tax regulationsand the overall tax burden and taxation procedures. It shows that the magnitudeof the fiscal burden, the complexity of tax regulations and the inconsistency andcomplexity of the taxation system are a significant burden on small and medium-sizedenterprises. The paper concludes with recommendations for more efficient andsimpler tax regulation.

The system of quality management in accordance to standards of ISO 9000 series intoday’s dynamic environment is rapidly becoming the business imperative for companies,especially for small and medium enterprises which strive to increase competitivenessand improve their business performances. The link between standards andbusiness performances has been capturing a lot of attention of academic community,which mainly focuses on a different benefits that companies can achieve by adequatelyimplementing these standards.The research presented in this paper focuses on small and medium entreprises inB&H which have an established system of quality management in accordance toISO 9000 series standards in order to determine whether companies apply thesestandards in a way to improve their business performances and increase their competitiveness.The research results show that the requirements of ISO 9001:2009 standard are notadequately implemented in small and medium companies in B&H, which furtherimplicates their indisposition for the application of ISO 9004:2009 standard. Therefore,full positive effects of these standards on business performance and competitivenessimprovement of companies are not achieved.

Abstract The paper is a first thorough examination of what happens to one’s emails on death. The paper demonstrates that some content of emails can be protected by copyright and transmitted on death accordingly. The paper then analyzes the contractual provisions of the main email providers, Google and Microsoft, in order to determine how these contracts, regulate the transmission of emails on death. The author finds that these provisions complicate the issues of property and transmission of digital assets and do not offer a meaningful control over the assets for their users. The paper adopts a novel focus introduced in the author’s earlier research, the idea of post-mortem privacy that is the right to privacy after death. This concept serves as an argument against the default transmission of emails on death without the deceased’s consent, whether through the laws of intestacy or by requiring the service providers to provide access to the deceased’s emails. Finally, the paper canvasses a solution which combines law and technology. It is argued that much more control should be placed in the hands of emails users. Post-mortem privacy, a potentially contested phenomenon, only accentuates the need to better account for the interests of the deceased, having in mind the volume of personal data and personal nature of emails. Therefore, an in-service solution is promoted, backed up by policy and legislation.

Background: An extensive burn is one of the most serious injuries. The modern treatment of pediatric burns is a logical exercise in resuscitation, infection control, surgical wound care, nutrition and psychologic and physical rehabilitation. The conventional methods of local therapy, especially in extensive and deep burns, cannot prevent infection. The fact is that the necrotic burn tissue always gives rise to infection and must therefore be excised. Tangential excision is a diagnostic procedure as well as a surgical preparation of a recipient bed for skin graft.  Clinical parameters of sixty extensively burned children have been evaluated, divided into two groups (surgically and non-surgically treated) and in four subgroups (under and over the 25% TBSA). The following criteria have been used to compare the results: pain, fever, body weight, duration of the hospital stay, wound infenction, laboratory values. Aim of research: The aim of our research was to demonstrate the efficacy of early tangential necrectomy in the treatment of extensive burns in children as well as in preventing the burn diseases. Material and methods: Clinical parameters of sixty extensively burned children have been evaluated, divided into two groups (surgically and non-surgically treated) and in four subgroups (under and over the 25% TBSA). The following criteria have been used to compare the results: pain, fever, body weight, duration of the hospital stay, wound infection, laboratory values. Results: The boys comprised 58.3% of the respondents and the girls were 41,7% of the respondents. The most common cause was the hot liquid of 73.3%, open flame 23.3% and the contact with hot metal 3.3%. The body temperature was significantly higher in control group compared to the examined group (p <0.001) significantly lower hematocrit values in the control group compared to the examined group (p = 0.002).      The results show that hospitalization lasted considerably longer in patients in the control group than in the examined group (p = 0.003). The incidence of bacterial infection of the burns is significantly higher in control compared to the examined group of patients (p = 0.007). The most commonly isolated bacteria in the study group was Staphylococcus aureus (15/30 or 50% of all subjects). Acinetobacter spp. was isolated in 9 patients (30% of respondents). Serratia spp. And Enterococcus Foecalis were isolated in 6 patients (20%). Pseudomonas aeruginosa was isolated in 3 patients (10%). Three patients (10%) did not isolate any bacteria during hospitalization Conclusions: The method of early tangential necrectomy of extensively burned children significantly reduce morbidity and mortality (it improves the general condition of the patient, improves clinical and laboratory parameters, reduces the possibility of infection of the wound, reduces the possibility of sepsis, reduces the length of hospitalization).The most optimal time to perform an early tangential necrectomy is the period between the 4th and the 6th day after the injury. In extensively burned children over 30% of the total body surface, an early tangential necrectomy should be performed on an area of about 20% of the total body surface as a prevention of blood loss due to necrectomy and autotransplantation. With extensively burned children over 40% of the total body surface, taking homotransplants from parents or close relatives reduces morbidity and mortality.

Successful application of the Huygens–Fresnel principle often requires reasoning about the interplay of aperture and light beam dimensions for purposes of identifying the unobstructed part of the light beam which is the source of secondary waves. Therefore we decided to identify university students’ ideas about the role of this interplay in the formation of diffraction patterns. We conducted a survey research with 191 first-year students from the Faculty of Chemical Engineering and Technology at the University of Zagreb, Croatia. They were administered six constructed-response questions in which aperture or laser beam dimensions were varied and students were expected to verbally and pictorially describe how these changes would affect the diffraction pattern. It has been shown that 63% of students think that a change in the length of the vertical slit necessarily results in a change of the diffraction pattern, even when the illuminated portion of the slit remains the same. In addition, it has been found that nearly 40% of students believe that in optical grating diffraction an increase of beam diameter leads to bigger diffraction fringes. A possible way to overcome some of these difficulties would be to insist on consistent application of the Huygens–Fresnel principle.

Purpose To investigate modes and quality of interprofessional communication between clinicians and radiologists, and to identify difficulties and possibilities in this context, as experienced by referring clinicians. Patients and methods Focus group interviews with 22 clinicians from different specialties were carried out. The leading question was: "How do you experience communication, verbal and nonverbal, between referring clinicians and radiologists?" Content analysis was used for interpretation of data. Results Overall, referring clinicians expressed satisfaction with their interprofessional communication with radiologists, and digital access to image data was highly appreciated. However, increased reliance on digital communication has led to reduced face-to-face contacts between clinicians and radiologists. This seems to constitute a potential threat to bilateral feedback, joint educational opportunities, and interprofessional development. Cumbersome medical information software systems, time constraints, shortage of staff, reliance on teleradiology, and lack of uniform format of radiology reports were mentioned as problematic. Further implementation of structured reporting was considered beneficial. Conclusion Deepened face-to-face contacts between clinicians and radiologists were considered prerequisites for mutual understanding, deepened competence and mutual trust; a key factor in interprofessional communication. Clinicians and radiologists should come together in order to secure bilateral feedback and obtain deepened knowledge of the specific needs of subspecialized clinicians.