Background: Malignant pleural effusions (MPE) are a pathological build-up of fluid and cancer cells within the pleural space. Patients have a significantly impaired quality and quantity of life, as this condition usually indicates an advanced disease. Video-assisted thoracoscopic (VATS) pleurodesis is a minimally invasive and effective treatment modality for patients with MPE.Material and Methods: We conducted a retrospective study of 60 patients with MPE treated with VATS pleurodesis. Success rates within a one-month follow-up, the intensity of dyspnea, Karnofsky and ECOG Performance Status Scales before and after the procedure, and length of hospital stay were observed. Results: VATS pleurodesis had a high success rate at the end of a one-month follow-up. A statistically significant difference was observed regarding the intensity of dyspnea, Karnofsky, and ECOG Performance Status before and after VATS pleurodesis. The average length of hospital stay was 7.5 days for these patients.Conclusion: Video-assisted thoracoscopic (VATS) pleurodesis is associated with low morbidity and a high success rate and is a reliable treatment modality for patients with MPE.

BACKGROUND: A third of endovascularly treated patients with stroke experience incomplete reperfusion (expanded Thrombolysis in Cerebral Infarction [eTICI] <3), and the natural evolution of this incomplete reperfusion remains unknown. We systematically reviewed the literature and performed a meta-analysis on the natural evolution of incomplete reperfusion after endovascular therapy. METHODS: A systematic review of MEDLINE, Embase, and PubMed up until March 1, 2024, using a predefined strategy. Only full-text English-written articles reporting rates of either favorable (ie, delayed reperfusion (DR) or no new infarct) or unfavorable progression (ie, persistent perfusion deficit or new infarct) of incompletely reperfused tissue were included. The primary outcome was the rate of DR and its association with functional independence (modified Rankin Scale score, 0–2) at 90 days postintervention. Pooled odds ratios with 95% CIs were calculated using a random-effects model. RESULTS: Six studies involving 950 patients (50.7% female; median age, 71 years; interquartile range, 60–79) were included. Four studies assessed the evolution of incomplete reperfusion on magnetic resonance imaging perfusion imaging, while 2 studies used diffusion-weighted imaging and noncontrast computed tomography imaging, where new infarct was used to denote unfavorable progression. Five studies defined incomplete reperfusion as eTICI 2b50 or 2c. DR occurred in 41% (interquartile range, 33%–51%) of cases 24 hours postintervention. Achieving DR was associated with a higher likelihood of functional independence at 90 days (odds ratio, 2.5 [95% CI, 1.9–3.4]). CONCLUSIONS: Nearly half of eTICI <3 patients achieve DR, leading to favorable clinical outcomes. This subgroup may derive limited or potentially harmful effects from pursuing additional reperfusion strategies (eg, intra-arterial lytics or secondary thrombectomy). Accurately predicting the evolution of incomplete reperfusion could optimize patient selection for adjunctive reperfusion strategies at the end of an intervention. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifiers: NCT05499832.

Connected and autonomous vehicles can potentially increase traffic safety by using various information and communication technologies (ICT). Data collected using technologies such as the Internet of Things (IoT) enables better traffic safety based on specific safety indicators. Modeling these indicators implies considering traditional traffic components such as driver-vehicle-road-environment. Eventually, if expressed in a suitable aggregate manner, traffic safety indicators can be presented and displayed to drivers to increase their attention and influence them to make decisions to avoid and mitigate traffic incidents. Existing driving risk assessment models usually consider a limited set of indicators related to individual drivers and their psycho-physical abilities which are important for participation in traffic. Data collected using IoT infrastructure alongside distributed computing and cloud technologies enables an expanded set of traffic safety indicators and a better assessment of driving risk. In this study, the common driver-vehicle-road-environment traffic safety indicators were considered and extended with the same indicators collected from neighboring drivers, weather conditions, surrounding awareness, and driver behavior data. We propose a novel architectural framework to provide dynamic driving risk assessment based on data collected using IoT technologies. The architectural framework provides a foundation for efficient data transmission between multiple sources and their processing, thus enabling the prediction of personal driving risk indicators.

Introduction The increasing prevalence of Alzheimer’s disease (AD) has created an urgent need for rapid and cost-effective methods to diagnose and monitor people at all stages of the disease. Progressive memory impairment and hippocampal atrophy are key features of the most common so-called typical variant of AD. However, studies evaluating detailed cognitive measures combined with region of interest (ROI)-based imaging markers of progression over the long term in the AD dementia (ADD) stage are rare. Method We conducted a retrospective longitudinal follow-up study in patients with mild to moderate ADD (aged 60-92 years). They underwent magnetic resonance imaging (MRI; 3 Tesla, MPRAGE) as well as clinical and neuropsychological examination (Consortium to Establish a Registry for Alzheimer’s Disease [CERAD] -Plus test battery) at baseline and at least one follow-up visit. ROI-based brain structural analysis of baseline MRIs was performed using the Computational Anatomy Toolbox (CAT) 12. Clinical dementia progression (progression index [PI]) was measured by the annual decline in the Mini Mental State Examination (MMSE) scores. MRI, demographic, and neuropsychological data were included in univariate and multiple linear regression models to predict the PI. Results 104 ADD patients (age 63 to 90 years, 73% female, mean MMSE score 22.63 ± 3.77, mean follow-up 4.27 ± 2.15 years) and 32 age- and gender-matched cognitively intact controls were included. The pattern of gray matter (GM) atrophy and the cognitive profile were consistent with the amnestic/typical variant of ADD in all patients. Deficits in word list learning together with temporal lobe GM atrophy had the highest predictive value for rapid cognitive decline in the multiple linear regression model, accounting for 25.4% of the PI variance. Discussion Our results show that temporal atrophy together with deficits in the encoding of verbal material, rather than in immediate or delayed recall, is highly predictive for rapid cognitive decline in patients with mild to moderate amnestic/typical ADD. These findings point to the relevance of combining detailed cognitive and automated structural imaging analyses to predict clinical progression in patients with ADD.

<p>The integration of Artificial Intelligence (AI) and wearable technologies in healthcare is revolutionizing preventive medicine, particularly in cardiovascular disease (CVD) prevention. With CVD being the leading cause of global mortality, these innovations offer transformative potential in addressing the disease through a multi-level prevention strategy. Capabilities of AI, supported by wearables, enhance data collection and analysis, allowing for tailored, patient-specific interventions. Primary prevention focuses on mitigating risk factors, while secondary prevention enables early detection through real-time monitoring, and tertiary prevention optimizes management of existing conditions to improve quality of life. This review explores the roles of AI and wearables in each level of prevention, highlighting advancements in predictive analytics, patient-centered care, and personalized treatment planning. Ethical considerations surrounding data privacy and security are also discussed, as well as the importance of accessible technology to reduce health disparities, particularly in low- and middle-income countries. As AI algorithms and wearable data improve, they will become increasingly effective in proactive health management, marking a shift from reactive treatment to preventive care. The successful implementation of these technologies depends on robust ethical frameworks and interdisciplinary collaboration, fostering a future in which preventive healthcare is more personalized, accessible, and impactful.</p>

Carp edema virus disease, caused by the Carp Edema Virus (CEV), is an emerging disease affecting common carp (Cyprinus carpio). During early April 2023, Rama Lake in Bosnia and Herzegovina (B&H) experienced significant daily mortalities of wild common carp (Cyprinus carpio), predominantly affecting adult specimens. Despite the presence of other fish species in the lake, the mortality was exclusively observed in the common carp. The sample of 10 moribund fish was caught in a landing net and transported on ice to the Laboratory for Aquaculture of the Veterinary Institute Sarajevo. In order to examine possible viral aetiology, tissue samples were collected and DNA was extracted using standard procedures. CEV was detected by real-time PCR. All samples were real-time PCR negative for the presence of KHV and SVCV. In this study, we describe the first detection of CEVD caused by carp edema virus in wild carp in Bosnia and Herzegovina.

Metals in red and white wines may stem from both natural and anthropogenic sources, with their concentration serving as an important parameter influencing wine consumption. The objective of this study was to determine the metal content in available wine samples from the Bosnia and Herzegovina market. Eight samples of red wine and seven white wine samples were analysed. Cadmium (Cd), chromium (Cr), cobalt (Co), copper (Cu), iron (Fe), manganese (Mn), nickel (Ni), lead (Pb), and zinc (Zn) were determined in these samples given their potential impact on wine quality and thus human health. Metal determination was conducted using flame atomic absorption spectrometry (FAAS). Limit of detection values were calculated using two methods for standard solution preparation, utilising distilled water and 10 % ethanol as blanks. Moreover, a human health risk assessment of trace elements present in wine samples was conducted. The concentrations of Cr, Cu, Fe, Mn, and Zn in the samples were found to be below the maximum allowed limits according to the regulations set by the International Organization of Vine and Wine, as well as the national regulations of Bosnia and Herzegovina, the European Union and Croatia. The content of Cd, Co, Ni, and Pb in all wine samples was below the detection limit of FAAS. The data obtained indicated that consuming 250 ml of wine samples appeared to be safe regarding the health risk associated with the potentially toxic metal intake. However, consumers should remain aware of other potential risks associated with excessive wine consumption. Regarding winemakers and the wine industry, to reduce the metal content in wine, monitoring of metal content should extend beyond just the grapes to include soil, air quality at the vineyard locations, and at different stages of the winemaking process since metal content in wine has an impact on the sensory attributes and overall quality of the wine.

Objective – This study examines the correlation between demographic characteristics (age and gender), attitudes toward sexting, and peer pressure and sexting behavior among adolescents.Materials and Methods – The current study was conducted among 359 adolescents ages 15-17 in Bosnia and Herzegovina, with data collected again one year after baseline. Participants completed questionnaires on demographic data, sexting behavior, attitudes toward sexting, and peer pressure.Results – Descriptive analyses showed that although adolescents have negative attitudes toward sexting, they do participate in sexting, reporting more receiving (62.95 % –64.06 %) than sending (30.91 % – 32.31 %) and posting (8.91 % – 8.63 %) sexts. Regression analysis revealed that age, gender, attitudes toward sexting and the influence of peer pressure in the fields of risky behavior and parental relationships are significant predictors of various types of sexting. Attitudes toward sexting and peer pressure to engage in risky behavior were also a predictor of sexting behavior one year later. Conclusion – The findings highlight the importance of addressing attitudes toward sexting and peer pressure in future preventive interventions related to sexting.

Research involves the systematic collection and analysis of data to enhance understanding of a particular phenomenon. Participation in medical research is crucial for advancing healthcare practices. However, there has been limited focus on understanding the factors that motivate medical students to engage in research. Additionally, in the era of e-learning, the easy accessibility of online resources has contributed to a widespread ‘copy-paste culture’ among digital-native students, which is recognized in academia as plagiarism. Existing studies suggest that a contributing factor to the increasing prevalence of plagiarism is students’ limited understanding of this act. The purpose of this study was to assess medical students’ attitudes toward research and plagiarism, and to evaluate the psychometric properties of the Attitudes Toward Research (ATR) and Attitudes Toward Plagiarism (ATP) questionnaires. This was a multicenter study conducted among medical undergraduate and postgraduate students attending the three medical universities who were involved in research. Students’ attitudes toward research and plagiarism were assessed using the ATR and ATP questionnaires. The research instruments underwent translation and cultural adaptation in accordance with internationally accepted methodology. The psychometric properties of the ATR and ATP, including validity and reliability, were assessed. Confirmatory factor analysis was used to test the model’s fit to the data. The ATR and ATP questionnaires were completed by 793 medical students who were involved in research (647 undergraduates and 146 PhD students). Cronbach’s alpha coefficients of 0.917 and 0.822 indicated excellent and good scale reliability for the ATR and ATP questionnaires, respectively. The five-and three- factor structures of ATR and ATP have been validated with maximum likelihood confirmatory analysis, and the results demonstrated an adequate level of model fit (TLI = 0.930, CFI = 0.942 and TLI = 0.924, CFI = 0.943, respectively). Medical students showed a high degree of positive attitudes toward research and favorable scores across all three domains of attitudes toward plagiarism. In multivariate regression models, age was found to be positively associated with favorable attitudes of research usefulness, positive attitudes, relevance to life subscales and total ATR scale (p < 0.001), while PhD study level was related to research anxiety (p < 0.001) and favorable attitudes across all three ATP domains (p < 0.001). Medical students who were involved in research showed a high degree of favorable attitudes toward research and plagiarism. Adjusting medical school curricula to include research courses would broaden the students’ interest in scientific research and maximize their impact on the full preservation of research ethics and integrity.

Background: Bosnia and Herzegovina, with its complex constitutional and legal system, is facing many difficulties in its progress toward European Union membership. These challenges have been worsened by political instability, exacerbated by geopolitical shifts in Europe following Russian aggression on Ukraine. Legal complexities in the constitutional order of Bosnia and Herzegovina are often used to halt the country's progress and divert it from its European trajectory. This article analyses the specific instances of very unfavourable legal solutions that are hindering the EU accession process, as well as the recommendations put forth by the EU Commission aimed at removing these legal obstacles. There is an urgent need for reform of constitutional and legal rules to enable the country to effectively continue its EU accession path. The importance of the EU membership perspective for Bosnia and Herzegovina extends beyond simply joining a desirable club of prosperous countries; the reforms required during the EU accession process are needed to strengthen the efficiency of state institutions and secure lasting peace in the country and region. As such, the urgency and potential impact of these proposed legislative changes cannot be overstated. Methods: The research primarily employs a combination of analytical, normative, and comparative methods to examine the legal system and chronology of the integration process. The legal historical method is also used where appropriate. The research focuses on the content of constitutional norms, relevant legislative acts in Bosnia and Herzegovina, and legislative acts of the European Union and other countries. These legislative acts are compared with EU recommendations and legislation from other EU member states to identify the discrepancies. The article provides an overview of the legal framework governing EU integrations in Bosnia and Herzegovina, including norms of international law, constitutional law, national legislation, and EU law that are negatively impacting the EU accession process, and offers certain recommendations for their improvement. Results and conclusions: The research has identified certain norms of constitutional and legislative origin in the legal system of Bosnia and Herzegovina that are harming the country's ability to effectively engage in the EU accession process. Through a normative approach, the article gives recommendations for their improvement, which are in line with the standards set by the institutions of the EU. Amending these problematic legal frameworks would remove their use as political tools aimed at halting the country’s progress in the EU integrations.

The creation of cadastral plans, and then different types of maps, is the procedure by which space is coded. During the creation of cadastral plans, they are topographed and different names and auxiliary text are written on them. The geological maps were also topographed during the procedure of creating geological maps. This is necessary in order for the content of the geological map to be complete. These procedures offer the user of cadastral plans and geological maps a lot of information about the terrain presented on the cadastral plans and geological maps. The first cadastral plans and geological maps of Bosnia and Herzegovina are related to the rule of the Austro Hungarian Monarchy. These cadastral plans arose as a result of the first systematic survey of Bosnia and Herzegovina, which took place after Bosnia and Herzegovina became part of the then powerful Austro Hungarian Monarchy. The survey started in 1880. and it was successfully completed in 1884. Cadastral plans created as a result of this surveys are called plans of the old survey. They were create in scales of 1: 6250, 1: 3125, 1: 1562.5 and 1: 781.25. Unfortunately, a lot of these plans were destroyed during Second World War. In the environments in which they exist, these cadastral plans are inexhaustible historical sources for many researchers. Cadastral plans of the old survey have a special significance in the historical cartography of Bosnia and Herzegovina. The current cadastral plans are arising as a result of survey which realized after the Second World War, when Bosnia and Herzegovina were one of the federal units of the former Yugoslavia. Cadastral plans created on the basis of the results of a survey carried out in the aforementioned period are called plans of the new survey. They were created in scales of 1: 5000, 1: 2500, 1: 2000, 1: 1000 and 1: 500. The subject of the survey were all objects and data certained for recording in the cadastral register and land register. The survey included the madrasas that existed in Travnik: madrasa of Elči Ibrahim-paša, madrasa of Mehmed-paša Kukavica and madrasa of the Mehmed-paša Muhsinović. Madrasas on the cadastral plans of old survey is the subject of research in this paper. The madrasa of Elči Ibrahim- paša was also surveyed during the maintenance of cadastral register. The paper analyzes the depictions of the madrasas in the on the updated lithographic copies of the original cadastral plans of the old survey, which served as working originals of the cadastral plans on which the graphic part of the cadastral register was maintained.

Abstract National, subnational, and supranational entities are creating biodiversity strategy and action plans (BSAPs) to develop concrete commitments and actions to curb biodiversity loss, meet international obligations, and achieve a society in harmony with nature. In light of policymakers’ increasing recognition of genetic diversity in species and ecosystem adaptation and resilience, this article provides an overview of how BSAPs can incorporate species’ genetic diversity. We focus on three areas: setting targets; committing to actions, policies, and programs; and monitoring and reporting. Drawing from 21 recent BSAPs, we provide examples of policies, knowledge, projects, capacity building, and more. We aim to enable and inspire specific and ambitious BSAPs and have put forward 10 key suggestions mapped to the policy cycle. Together, scientists and policymakers can translate high level commitments, such as the Convention on Biological Diversity’s Kunming–Montreal Global Biodiversity Framework, into concrete nationally relevant targets, actions and policies, and monitoring and reporting mechanisms.

This paper presents research in the field of optimization in maritime passenger traffic that can ensure the long-term sustainability of coastal maritime passenger lines system. For the purpose of the research contained in this paper, it has been hypothesized that the optimal arrangement of boats within a coastal maritime passenger lines system will reduce the consumption of propulsion energy, the emission of harmful gasses and operating costs. The aim of this paper is to present an efficient algorithm for a reduction in propulsion energy consumption in coastal maritime passenger lines systems by reassigning boats to lines that they service. The problem is modeled using a bipartite graph and the solution is obtained by searching for optimal matching using Edmonds’ algorithm. The authors apply, for the first time, Edmonds’ algorithm to the problems of the optimization of assignments of boats to lines. The research results were confirmed by tests on a representative example. The optimization results on only 10 ships in the given example show yearly savings of 91,097.30 L of fuel (lowering costs by EUR 69,233.95) and reducing CO2 by 243.59 tons, which proves that this algorithm found a much more efficient arrangement that could result in a significant reduction in propulsion energy consumption, thus providing economic and ecological benefits.

Aktivnosti Centra za istraživanje moderne i savremene historije Tuzla u 2023. godini // Activities of Center for Research of Modern and Contemporary History Tuzla in 2023