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A. Tubić, Marijana KraguljIsakovski, S. Maletić, N. Ostojic, J. Agbaba

The most effective way to ensure drinking water quality and protect public health is the implementation of a preventive, risk-based approach to water supply management. This approach encompasses all stages, from the water source to the consumer, and can be applied across all water supply systems, regardless of their size. The EU Drinking Water Directive (Directive (EU) 2020/2184) emphasizes the importance of this concept. This study assesses and analyzes the risk of groundwater contamination at the water supply sources using a commonly applied risk assessment methodology, which quantifies risk based on the likelihood and potential consequences of hazard occurrence. The methodology for defining risks involved assessing the probability and consequences of certain hazards for the water supply. Based on this, a total of 19 risks were defined, which were prioritized into 4 levels.

Zerina Kurtović, Juan Antonio Vazquez Mora, Sijing Ye, Sara A. Dochnal, Katalin Sandor, M. S. Ur Rasheed, Sven David Arvidsson, Alex Bersellini Farinotti et al.

E. Zerem, Predrag Jovanović, Suad Kunosić, A. Kurtcehajic, Dina Zerem, Omar Zerem

In this editorial, we comment on the article published by Qiu et al. Pyogenic liver abscess is a serious clinical condition requiring timely and effective intervention. Ultrasound (US)-guided techniques - whether needle aspiration (NA) or catheter drainage - are key minimally invasive treatments, especially in patients with multiple or deep-seated abscesses where conventional surgery is often impractical. The timing and choice of evacuation method significantly influence clinical outcomes. Although catheter drainage may be necessary for larger or refractory collections, NA represents a less invasive alternative that is often sufficient for smaller abscesses - particularly multiloculated ones - and can avoid multiple catheter placements. This consideration is especially important in the early phase of the disease, when the abscess collection is poorly demarcated from surrounding tissue and more prone to bleeding during or after intervention. Traditional practice delays intervention until liquefaction occurs; however, emerging evidence supports early US-guided evacuation - even in partially liquefied or non-liquefied abscesses - as both safe and effective. Early intervention, particularly via NA when feasible, is associated with faster symptom resolution, shorter hospitalization, and fewer complications. This editorial explores the role of US-guided interventions in pyogenic liver abscess manaement, emphasizing the importance of individualized, timely approaches that optimize disease outcomes while minimizing procedural risk.

Denis Čaušević, M. Bîcă, Amila Hodžić, Alina Elena Albină, Blake Densley, D. Alexe, Milan Zelenović, Marta Bichowska-Pawęska et al.

This study investigated the influence of biological maturity status on anthropometric, body composition, and physical performance characteristics in elite youth male basketball players. A total of 140 players (15.12 ± 0.78 years) competing in national elite programs were categorized as early, on-time, or late maturers according to years from peak height velocity (PHV). Each participant completed a standardized testing battery including anthropometric assessments, body composition analysis (InBody 720), countermovement jump (CMJ) with and without arm swing, drop jump from 40 cm (DJ40), linear sprints over 5–20 m, and agility tests (t-test and Lane Agility). Between-group differences were analyzed using one-way ANOVA and Bonferroni post hoc tests, while partial eta squared (ηp2) and magnitude-based inference (MBI) were applied to assess effect size and practical significance. Significant differences were observed across maturity groups (p < 0.05), with early maturers being taller, heavier, and more muscular than their on-time and late-maturing peers. Large effects were found for height (ηp2 = 0.667) and body mass (ηp2 = 0.455), and moderate-to-large effects for jump, sprint, and agility performance (ηp2 = 0.051–0.166). MBI results indicated that most differences between early and late maturers were “very likely” or “almost certain,” highlighting their practical relevance. These findings confirm that biological maturity substantially affects physical and performance profiles in adolescent basketball players and underscore the importance of maturity-informed approaches such as bio-banding and individualized training to ensure fair evaluation and equitable talent development in youth sport.

Admira Beha, Alma Huremović, Naim Salkić, Edina Kuduzović, Daniel Maleč

Introduction: Noise is the leading cause of hearing loss worldwide. In recent years, reduced hearing ability among young people has been observed, along with an increased frequency of headphone use for sound transmission. The purpose of this study is to determine the frequency and patterns of headphone use for sound reproduction among students and to analyze their impact on the occurrence of symptoms associated with hearing loss. Methods: The cross-sectional study included students from two public universities from three public faculties in Bosnia and Herzegovina. Both qualitative and quantitative analyses were used to process the results. To test the statistical significance of the findings, the Chi-square goodness-of-fit test was applied, with the level of statistical significance set at 0.01. Results: The study sample included 246 participants and it was found that 77.6% of surveyed students use headphones for sound transmission. The longest duration of use was reported by 44.6% of participants, who had been using headphones for more than 5 years. The most common maximum daily use was up to 2 h (28.7%), while 67.5% of respondents reported using headphones every day, most often in the evening (46.4%). The Chi-square test showed statistically significant differences in the frequency of symptom occurrence following headphone use (χ2(6) = 55.466, p < 0.001). The most frequently reported symptoms were tinnitus (28.3%), a sensation of fullness and ear pressure (17.8%), and ear pain (16.2%). Conclusion: The results indicate a high prevalence of headphone use among students, with many reporting daily use over several years. The analysis showed a statistically significant association between headphone use and the occurrence of hearing-related symptoms, suggesting a potential threat to the auditory health of young people. These findings highlight the need to educate youth on the safe use of headphones.

Ana Lesac Brizić, Branislava Popović, T. Zavidić, Nevena Todorović, V. Petrovic, Nataša Pilipović-Broćeta, Ana Miljković, A. Ljubotina et al.

Background/Objectives: Beyond respiratory problems, COVID-19 can cause a variety of symptoms, such as neurological disorders caused by biological and psychological factors. Brain fog (BF), a post-illness cognitive impairment that many patients report, can be evaluated with reaction time (RT) testing. Response latency is measured by RT, which can be either simple (sRT) or complex (cRT). This study focuses on how COVID-19 affects cognitive function, with particular attention on RT changes, BF prevalence, and implications for daily life. Methods: The study included 599 participants from Bosnia and Herzegovina, Croatia and Serbia. RT was measured using PsyToolkit and participants completed a COVID-19-associated BF questionnaire. Participants who experienced BF after their latest COVID-19 infection rated its severity using a visual analogue scale (VAS). Additional clinical data were obtained from medical records. Results: BF was reported by 40% of participants post-COVID-19. Men reported it less frequently but found it more disruptive. RT progressively declined post-infection, reaching peak impairment at 15 weeks, following recovery, with RT normalizing by six months. Conclusions: COVID-19 is linked to temporary RT impairment, peaking at 15 weeks post-infection and resolving by six months, independent of BF presence. This study emphasizes the need for a biopsychosocial approach to BF management. Easily available RT assessments should be incorporated into routine clinical practice.

Naomi Iris van den Berg, C. Swanton, S. Turajlic

The Tracking Cancer Evolution Through Therapy (TRACERx) program represents the most comprehensive effort to characterize tumor evolution in real time. Through longitudinal, multiregion, and multiomic profiling of tumors—and particularly of non-small-cell lung cancer and clear cell renal cell carcinoma—TRACERx has illuminated the dynamic interplay between genetic, nongenetic, and (micro)environmental factors that drive cancer progression, immune evasion, and therapeutic resistance. A central insight from TRACERx has been that not all tumor evolution is genomic: Transcriptomic diversity, epigenetic alterations, RNA editing, and changes in cell–cell interactions also drive adaptation. Methodological innovations—including tumor-informed and ultrasensitive circulating tumor DNA assays, representative sequencing, and integrative immune–genomic analyses—have yielded biomarkers resistant to sampling bias and/or predictive of recurrence, metastasis, and treatment response. By demonstrating that intratumor heterogeneity is a key determinant of clinical outcome and revealing its molecular, transcriptional, and ecosystem-level drivers, TRACERx has established a framework for linking evolutionary dynamics to patient care. As both a scientific framework and a clinical paradigm, TRACERx demonstrates how adaptive, iterative research can refine evolutionary models, improve patient risk stratification, and inspire next-generation cancer evolution studies across malignancies.

Eva Čokolič, Lucijan Lučič Šrajer, Ivana Kodrič, Sarah Dobnik, Matija Žerdin, Irmina Sefic Pasic

Purpose: To emphasize the diagnostic role of magnetic resonance imaging (MRI) in identifying Fitz-Hugh–Curtis syndrome (FHCS) in an adolescent patient with a subtleclinical presentation. Methods: A 17-year-old female presented with acute onset right upper quadrant and right shoulder pain. The initial diagnostic workup, including ultrasound (US), computedtomography (CT), and laboratory testing was inconclusive. Due to persistent symptoms and elevated inflammatory markers, MRI of the abdomen and pelvis was subsequentlyperformed. Results: MRI demonstrated a bilateral pyosalpinx with restricted diffusion, free fluid in the pelvis and subhepatic region, and linear adhesions between the hepatic capsule and peritoneum, which was consistentwith pelvic inflammatory disease (PID) complicated by FHCS. Microbiologic analysis confirmed a Chlamydia trachomatis infection. The patient received targeted antibiotic therapy with clinical improvement. Conclusion: FHCS represents a rare but importantcomplication of PID that may present with non-specificor extra-pelvic symptoms. MRI is the modality of choicefor confirming PID-related complications and perihepatic inflammation, offering high sensitivity and the advantage of radiation-free imaging, which is especially relevant in the adolescent population.

Jasmina Biščević-Tokić, Sanja Brekalo-Lazarević, Ivana Lazarević, N. Tokić, E. Horozić, Maida Smajlović, Bahrudin Hadžiefendić

Background: The symptoms of COPD differ based on the stage of the disease, becoming more noticeable in its severe stages and during exacerbations. They are associated with temporary incapacity for work and cause a decrease in working capacity. Also, occupations with special working conditions and exposure to pollutants at work cause increased bronchial secretion and cough. This research aims to identify the most common symptoms in COPD patients and evaluate their work capacity based on symptom prevalence. Methods: 200 subjects were included in the prospective study. Participants were divided into two groups: a study group and a control group. Within each group, subgroups were created based on smoking habits, a key risk factor for COPD development. Results: The dominant symptom in both groups was cough, with 34.67%. In subjects with preserved working capacity, the most common symptoms are chest pressure with 13.33% and shortness of breath with 9.33%, while in the group with reduced working capacity, fatigue (30%) and dyspnea with 26%. In the control group, most subjects had obstructive bronchitis, asthma and chronic simplex bronchitis. Conclusion: According to the GOLD classification, modified working capacity decreased by 51.33%, while retained working capacity declined by 48.67% in relation to disease severity. Cough was the dominant symptom in both groups, while other symptoms varied independently of the stage of the disease.

Ovaj rad pruža (sveobuhvatnu) analizu razvoja rimskog kaznenog (krivičnog) postupka od kraljevskog doba do kraja Republike. Autor istražuje kako je rano rimsko društvo prešlo sa privatne osvete na državno provođenje pravde, naglašavajući nerazdvojivost prava, religije i politike. Kroz detaljno razmatranje institucija kao što su quaestores parricidii, quaestiones perpetuae, te reformi koje su sproveli Sula, Ciceron i Pompej, tekst prikazuje sve veću formalizaciju, specijalizaciju i politizaciju krivičnog prava. Posebna pažnja posvećena je procesnim principima, uključujući pretpostavku nevinosti, akuzatorni model i pravila dokazivanja. Zaključno, rimsko krivično pravo – iako često zapostavljeno u korist privatnog prava – imalo je značajan uticaj na temeljne koncepte savremenih evropskih  krivičnopravnih sistema.

Aida Šehanović, Lejla Šehanović, N. Hadžiahmetović, Anida Šehanović, Sabina Kohlmann, Anastasios Fountis

Workplace behaviors and employee outcomes, such as team functioning, job satisfaction, and intentions to leave, are crucial for healthcare quality and safety. It highlights the substantial productivity, societal, and economic costs of worker well-being. Against this backdrop, this study examines how two dimensions of organizational culture: ethical climate and perceived managerial competence, together with team support, relate to job satisfaction and turnover intention among healthcare professionals. A quantitative, cross-sectional survey was conducted with 430 physicians, nurses, and other clinical staff in public and private institutions across the Federation of Bosnia and Herzegovina. Using established scales and structural equation modeling (SEM) in AMOS, we first verified satisfactory reliability and construct validity via exploratory and confirmatory factor analyses. The structural model showed that ethical organizational culture and managerial competence are positively related to team support and, directly or indirectly, to higher job satisfaction and lower turnover intention. Team support was positively related to job satisfaction and negatively related to turnover intention and significantly mediated the effects of both ethical climate and managerial competence on these outcomes. In addition, job satisfaction was strongly and negatively correlated with turnover intention, underscoring its central role in retention.

Nerma Bašić, S. Branković, Jasmina Mahmutović, Amer Ovčina, Mohammed Abou El - Ardat, Đenana Šaldo, Mediha Muslić – Musić, Amela Salihović et al.

Introduction: Breast cancer represents a global public health challenge, often diagnosed at advanced stages due to a lack of awareness and insufficient practice of breast self-examination (BSE). This study aims to assess and compare the knowledge, attitudes, and practices of female students regarding BSE in the context of breast cancer prevention and early detection. Methods: The cross-sectional study was conducted from March to April 2023 and included 151 female students from the Faculty of Health Studies and the Faculty of Economics and Business University of Sarajevo. The research instrument was a modified questionnaire based on an existing questionnaire from previous research and adapted to the objectives of this study. Results: The results showed that almost all participants were familiar with BSE, with no significant differences between faculties. Students from the Faculty of Health Studies were more likely to report knowing the right time for BSE (45.1%), while students from the Faculty of Economics and Business were more uncertain and relied more on information from the internet. The main reason for not performing the BSE was a lack of knowledge about the correct technique, which was most frequently stated by economics students. Nevertheless, the majority of participants (91.4%) recognized BSE as an important method for early detection of breast tumors, highlighting the need for further education to strengthen practical skills. Conclusion: The study found that although most students are aware of the importance of BSE, regular practice is low, mainly due to uncertainty about the correct technique. The results of this study show that there is a need to integrate targeted educational programs into university curricula and health promotion campaigns to reinforce preventive behaviors.

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