Background Appropriate oral hygiene practices established in early childhood are essential for preventing dental caries. Parental awareness and supervision during the early school years play a key role in the development of effective daily oral hygiene habits. However, data on oral hygiene practices and the use of preventive dental products among children at school entry remain limited in many primary healthcare settings. Materials and methods This cross-sectional study included 307 six-year-old children who attended routine school-entry dental examinations at the Department of Dentistry, Public Health Institution "Health Center" Živinice, Bosnia and Herzegovina, between September 2022 and September 2024. Parents completed a structured questionnaire on the timing of the child’s first dental visit, initiation of toothbrushing, caregiver involvement in daily oral hygiene, and use of mechanical and chemical oral hygiene products. Categorical variables were summarized using descriptive statistics, and differences in questionnaire responses were analyzed using the Pearson Chi-square (χ²) test, with a significance level of p < 0.05. Results Delayed initiation of the first dental visit and toothbrushing were commonly reported. Only a minority of children attended their first dental visit following eruption of the first tooth, while most began brushing after eruption of several primary teeth. Parental supervision of oral hygiene was inconsistent, and independent brushing from the beginning was reported in a subset of children. Although regular toothbrush and toothpaste use was nearly universal, the use of adjunctive preventive products was limited, and more than half of parents were unaware of the fluoride content of their children's toothpaste. Conclusion Oral hygiene practices among six-year-old children appear suboptimal, with delayed initiation of preventive care and limited parental awareness of fluoride use. Educational interventions aimed at improving caregiver knowledge and supervision of children’s oral hygiene practices may support the development of more effective preventive behaviors at school entry.

Newborn screening (NBS) is a well-established public health program that enables early detection and treatment of rare disorders in newborns, preventing severe complications or death. Despite its recognized importance, the scope and implementation of NBS programs vary across Southeastern (SE) and Central Europe. This study aimed to evaluate the current status of NBS in 16 countries of SE and Central Europe and assess progress since the previous survey in 2021. A structured questionnaire was distributed to national experts between April and December 2025, collecting data on program organization, coverage, diseases included, laboratory methods, confirmatory testing, consent practices, and future expansion plans. All countries reported universal screening for congenital hypothyroidism, except Kosovo, where a national NBS is in the process of being established. Expanded NBS using tandem mass spectrometry was available in Austria, Bulgaria, Croatia, Cyprus, Greece, Hungary, North Macedonia, Romania, and Slovenia. Spinal muscular atrophy screening became universal in Austria, Croatia, Hungary, Serbia, and Slovenia. Most countries reported plans for further expansion, with congenital adrenal hyperplasia, severe combined immunodeficiency, spinal muscular atrophy, and cystic fibrosis being the most frequently targeted conditions. Although notable infrastructural progress has been achieved, financial constraints, lack of staff, and organizational barriers remain key challenges. The study’s assessment of program effectiveness was further limited by the absence of region-wide systems for capturing end-to-end performance indicators, such as the age of the infant at treatment initiation or missed cases. Regional collaboration and adoption of best practices are therefore vital to ensure equitable access and continuous advancement of NBS programs.

This study examines how the signal‐to‐noise‐interference ratio (SNIR) influences auditory performance and neural responses associated with listening effort (LE). A new dataset was collected from individuals with moderate hearing loss, all fitted with hearing aids (HAs). Participants listened to two competing audiobooks presented via front‐facing loudspeakers, while 16‐talker babble noise was delivered from background speakers. Six SNIR levels (5.47, −$$ - $$ 3.55, −$$ - $$ 2.13, −$$ - $$ 1.19, −$$ - $$ 0.64, and −$$ - $$ 0.27 dB) were tested. Participants were instructed to attend to one audiobook while ignoring the competing speech and background noise and were subsequently assessed on content of the attended speech and perceived LE. The performance results revealed a significant linear effect of SNIR on subjective ratings of LE and a primarily quadratic effect on comprehension questionnaire accuracy, suggesting that perceived effort decreases steadily with improving SNIR, while comprehension questionnaire performance exhibits a plateau at higher SNIR levels. The EEG analyses demonstrated a significant relationship between SNIR and local connectivity, specifically in the parietal electrodes and in the alpha frequency band. Further analysis confirmed that parietal local connectivity correlates linearly with subjective LE ratings. Moreover, spectral power analysis showed that parietal alpha power is not significantly related to SNIR, indicating that local connectivity may serve as a more sensitive neural marker. While local connectivity and alpha power may share some neural underpinnings, they offer complementary, yet non‐identical insights. These findings highlight the potential of local EEG connectivity as a reliable estimate of LE in acoustically challenging environments.

This study applied a virtual effect-directed analysis (vEDA) approach, integrating effect-based analysis and chemical screening, to identify bioactive compounds in rubber infill from artificial turf. Bioreporter assays targeting diverse toxicological endpoints were selected to detect a wide range of potential endocrine-disrupting and genotoxic compounds. Of 21 samples, all except one showed aryl-hydrocarbon receptor (AhR) activity (14-31,400 ng benzo[a]pyrene equivalents/g), four induced p53 activity (0.04-0.86 µg actinomycin D equivalents/g) and two showed estrogen receptor α (ERα) activity (530 and 1020 pg estradiol equivalents/g). Chemical analysis quantified up to 87 polycyclic aromatic compounds (PAC) and gas chromatography high-resolution mass spectrometry-based suspect screening yielded 281 tentative identifications. Annotation with bioassay activity data from databases and predictive models revealed 29 AhR-, 32 ERα- and 18 p53-active compounds. Univariate analysis was used to prioritize compounds for further chemical and toxicological confirmation. Eighteen AhR agonists were confirmed, contributing 0-98% to the observed AhR activity in the samples. Phenylamine additives, detected at high concentrations, exhibited low AhR activating potency and contributed < 1%. In contrast, methylated chrysene isomers elicited relatively high potencies and contributed substantially (≤65%) to the observed AhR activity. N-Isopropyl-N'-phenyl-p-phenylenediamine (IPPD) was confirmed as p53 active and explained ∼50% of the observed activity in the most p53-active sample. Styrene-butadiene rubber (SBR) showed higher AhR- and p53 activities and concentrations of quantified compounds than the alternative materials. The study highlights differences in chemical hazards among rubber infill materials and demonstrates the utility of vEDA as an early-warning tool for identifying compounds of concern.

Background While there is evidence supporting the potential of alpha-lipoic acid (ALA) to improve nerve conduction parameters in certain neurological conditions, particularly diabetic neuropathy, its specific effects on nerve conduction in chronic low back pain (CLBP) patients have not been directly addressed in the current context. There is a connection between proprioceptive system deficits and movement control dysfunction in patients with chronic lower back pain, but the exact mechanism of this link is unknown. Aim To analyze the effectiveness of the proprioceptive rehabilitation method using the Huber system of exercises and to evaluate nerve conduction study findings in a patient with CLBP treated with ALA. Methods This prospective quasi-experimental clinical pilot study with a pre-test/post-test repeated-measures design included 15 patients treated at the Clinic for Physical Medicine and Rehabilitation, Clinical Center of the University of Sarajevo, during a three-week follow-up period. The study was conducted between January 1, 2025, and April 30, 2025. The patients were treated with 600 mg of ALA supplementation per day and participated in Huber proprioception training five days per week. Patients were followed for the next three weeks, with two study visits: one at baseline and one at the end of the study. The study visits included electromyography (EMG) and nerve conduction studies. A p-value of <0.05 was considered significant. Results Out of the total patients (n=15), 11 (73.3%) were male. The most commonly affected levels were L4/L5 (13, 87%), followed by L3/L4 (1, 6.5%) and L5/S1 (1, 6.5%). There was a statistically significant median increase after three weeks in both proximal (z=-3.298, p<0.001) and distal peroneal M wave amplitude (z=-3.415, p<0.001). A statistically significant median increase was also observed in proximal (z=-3.408, p<0.001) and distal tibial M wave amplitude (z=-3.409, p<0.001). Conclusion Future research with a larger sample size and longer follow-up periods is needed to evaluate the long-term effects of the sensoriomotor training program combined with ALA supplementation in patients with chronic low back pain.

Background and Objectives: Although carotid endarterectomy (CEA) is the gold standard in the treatment of carotid disease, a higher frequency of adverse outcomes can reduce its benefit. The aim of the present study is to identify factors related to myocardial infarction, stroke, death and restenosis as the late adverse outcomes of CEA. Materials and Methods: The retrospective cohort study included 1597 CEAs that were performed in 1533 consecutive patients at the Vascular Surgery Clinic in Belgrade from 2012 to 2017. Late adverse outcomes within 4 years after CEA were available for the majority of them. Data for myocardial infarction and stroke were available for 1223 CEAs, data for death for 1305 CEAs, and data for restenosis for 1162 CEAs. The association between possible risk factors and late adverse outcomes of CEA was analyzed using univariate and multivariate Cox and logistic regression analyses. Results: During follow-up, myocardial infarction occurred after 55, stroke after 68, death after 103 and restenosis after 121 CEAs. Two factors were the most frequent predictors of late adverse outcomes, i.e., the patient’s age and diabetes mellitus (DM). Age predicted all late adverse outcomes except restenosis, and DM predicted all of them. A predictor of myocardial infarction, besides age (HR 1.08, 95% CI 1.05–1.11) and DM (HR 1.60, 95% CI 1.11–2.29), was peripheral arterial disease (HR 1.81, 95% CI 1.17–2.78) in personal history. Predictors were only age (HR 1.04, 95% CI 1.01–1.08) and DM (HR 1.68, 95% CI 1.03–2.72) for stroke, as well as for death (HR 1.17, 95% CI 1.12–1.21 and HR 1.94, 95% CI 1.17–3.21, respectively). For restenosis, in addition to DM (HR 1.78, 95% CI 2.62), predictors were hyperlipidemia (HR 3.52, 95% CI 1.27–9.76) and urgent surgery (HR 3.51, 95% CI 1.06–11.65). Conclusions: CEA should be performed with special caution in the elderly and diabetic patients. Modification of other risk factors and precise medical therapy are necessary to reduce possible adverse outcomes.

Highlights • Deep learning improved thalamus segmentation in multiple sclerosis brain scans.• Atlas based methods overestimated thalamus volume despite spatial overlap.• Voxel overlap and volume accuracy diverged across segmentation tools.• Quantitative magnetic resonance maps modestly improved disability associations.

Ferroelectric Capacitors (FeCAPs) based on HfZrO2 (HZO) are promising building blocks for ferroelectric (FE) Non-Volatile Memories (NVM). In this work, we investigate for the first time the deposition of FE HZO on top of epitaxial Cobalt Silicide (CoSi2), a mainstream CMOS material. While no systematic study exists on this combination, our preliminary results demonstrate the crystallization of the FE phase in HZO on CoSi2 and suggest pathways to improve FE performance to that of the reference stack TiN/HZO/TiN reported in this study and widely used in the literature.

Background Trochanteric femur fractures constitute nearly half of all hip fractures and represent the most commonly surgically treated fracture type overall. Postoperative pain is linked to increased morbidity and poorer functional recovery, and its management remains challenging due to the adverse effects associated with commonly prescribed analgesics. Objectives This study aimed to assess the influence of oral vitamin C supplementation on postoperative pain intensity in patients with trochanteric femur fractures managed with intramedullary nailing. Methods A prospective, randomized, single-blinded, placebo-controlled clinical trial was performed involving 70 patients allocated to either a vitamin C group or a control group. Participants in the vitamin C group received 1 g of oral vitamin C daily for 40 postoperative days, whereas the control group received a placebo for the same duration. Baseline demographic and clinical characteristics, Visual Analogue Scale (VAS) pain scores, total postoperative metamizole consumption, Harris Hip Score (HHS) values, and complication rates were recorded and compared between groups. Results No statistically significant differences were observed between groups regarding age, gender distribution, length of hospital stay, fracture side, or fracture classification. The cumulative postoperative VAS scores were significantly lower in the vitamin C group compared with the control group (P = 0.0000). Median postoperative metamizole consumption was lower in the vitamin C group, with a significant difference compared with the control group (P = 0.020). Harris Hip Score values assessed at 6 and 12 weeks postoperatively did not differ significantly between groups (P = 0.760 and P = 0.796, respectively). Conclusions The findings indicate that vitamin C supplementation significantly reduced subjective postoperative pain and analgesic consumption, suggesting its potential usefulness as an adjunctive measure for pain management following hip fracture surgery.

The Trends in International Mathematics and Science Study (TIMSS) provides internationally comparable data on students’ mathematics and science outcomes. The present study examines whether school bullying moderates gender differences in outcomes on the TIMSS mathematics test among fourth-grade students in Bosnia and Herzegovina. The sample consisted of 3,324 fourth-grade students (1,654 girls and 1,670 boys). Mathematics achievement was assessed using TIMSS plausible values, and analyses accounted for the complex survey design using the student sampling weights. Results showed a significant negative association between school bullying and mathematics achievement for both genders, as well as a significant gender × bullying interaction. Boys achieved higher scores at low and moderate levels of bullying, whereas girls outperformed boys under high bullying exposure. This pattern was consistent across all plausible mathematics values. The results suggest that efforts aimed at improving school social climate and reducing bullying may play an important role in promoting both students’ academic achievement and their well-being. Keywords: TIMSS, mathematics, gender, school bullying, Bosnia and Herzegovina

In this paper, we present an online method for converting an arbitrary geometric path, represented by a sequence of states, and generated by any planner (e.g., sampling-based planners such as RRT or PRM, search-based planners such as ARA*, etc.), into a kinematically feasible, jerk-limited trajectory. The method generates a sequence of quintic/quartic splines that can be discretized at a user-specified control rate and streamed to a low-level robot controller. Our approach enables real-time adaptation to environmental changes and can be re-invoked at any instant to generate a new trajectory from the robot's current state to a desired target state or sequence of states. Under a bounded-obstacle-velocity assumption, the method provides conditional stopping-safety guarantees over a finite time interval in dynamic environments, while allowing bounded geometric deviation from the original path. Kinematic constraints, including jerk limits, are explicitly considered. We validate the approach in a comparative simulation study against a competing method, demonstrating favorable behavior w.r.t. smoothness, computational time, and real-time performance, particularly with frequent target-state changes (up to 1 [kHz]). Real-robot experiments demonstrate applicability in real-world scenarios, including scenarios with a human as an obstacle.

This research aimed to examine which of the selected strategies can most effectively influence households to reduce their total municipal waste and thus protect the environment. To achieve this goal, a sample of 202 households from the Brčko District of BiH was used. Respondents evaluated six strategies against ten criteria, expressing their assessments through linguistic values. These linguistic inputs were modeled using symmetric fuzzy numbers, ensuring a consistent and mathematically robust representation of uncertainty and subjective judgment. The research used the fuzzy SiWeC (Simple Weight Calculation) method to determine the importance of the criteria, and the fuzzy TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution), ARAS (Additive Ratio Assessment), and SAW (Simple Additive Weighted) methods to rank the strategies. The application of several methods in decision-making helps validate results and verify the robustness of strategy selection. These methods identified “waste reduction efficiency” as the most important criterion and “Strategy 3—Packaging return machines” as the most effective overall. Furthermore, analysis of demographic subgroups revealed significant variations in the perceived value of alternative strategies. Consequently, this study concludes that to optimize municipal waste management, strategies should be tailored to specific demographic profiles. This targeted approach would enhance waste reduction at the source, divert more waste from landfills, and promote the broader implementation of circular economy principles. The use of symmetric fuzzy numbers provided a reliable and stable foundation for this multi-criteria decision-making analysis.