COVID-19 vaccine uptake in the Federation of Bosnia and Herzegovina (FBiH) accelerated in the second half of 2021, with greater vaccine availability. In this study, we estimated the vaccine effectiveness (VE) of complete primary series BBIBP-CorV vaccine against COVID-19 in patients aged 60 years and older, during the Delta-dominant period, using a test-negative case-control design. Surveillance sites were 11 primary health care centers (PHC) collecting patient data from October 1, 2021, to January 4, 2022, retrospectively according to a common protocol. In total, we included 1711 participants in the analysis: 933 cases and 778 controls. Of the 933 cases, 508 (54.4 %) had mild and 425 (45.6 %) had moderate to severe disease presentation. We observed no effectiveness against mild COVID-19. Overall vaccine effectiveness was 65.0 % (95 %CI: 40.1-79.5) against moderate to severe COVID-19. In time since vaccination analysis, VE was 78.7 % (95 % CI: 54.8-89.9) in patients who received their last dose < 90 days before onset; 66.0 % (95 % CI: -0.5-88.5) in those 90-119 days before onset; 42.1 % (95 % CI: -88.6-82.3) in those 120-149 days before onset and 45.0 % (95 % CI: -94.0-84.4) in those ≥ 150 days before onset. In our study, two doses of BBIBP-CorV provided considerable protection against moderate to severe COVID-19 in older adults, highest within 3 months after second dose, during the Delta-dominant period. Point estimates declined thereafter, suggesting a need for additional doses.

The purpose of the present study is to simulate erosion on the aluminium plate with a cylindrical hole caused by solid particles after passing through 90° elbow, using the Computational Fluid Dynamics (CFD), the Discrete Phase Model (DPM), and erosion equations. Discrete trajectories of solid particles are calculated using the Lagrangian approach, while the simulation of the fluid was obtained by solving the fluid motion equation using the Eulerian approach. Supplementary sub-models are incorporated into the software to enhance the accuracy of particle trajectory calculations within the simulated geometry. These sub-models include collisions of solid particles with walls (stochastic model) and erosion model. The numerical simulation results obtained in this paper were compared with the existing experimental results from the group of authors, demonstrating a good match. The paper provides the main characteristics of the mathematical model, along with the interpretation of results and a discussion, with the key findings highlighted in the conclusion. The findings indicate that erosion process is significantly influenced by both the particle impact velocity and impact angle, which are key parameters in many erosion equa - tions. Furthermore, it is observed that the velocity of the particles is consistently lower than the mean velocity of the air. Additionally, the angle at which the particles impact the aluminium plate is not always exactly 90° due to multiple collisions with the wall, signifying that the particles do not move exclusively vertically.

Limited edge server resources and uneven distribution of traffic density in vehicular networks result in problems such as unbalanced network load and high task processing latency. To address these issues, we proposed an efficient caching and offloading resource allocation (ECORA) strategy in vehicular social networks. First, to improve the utilization of vehicular idle resources, a collaborative computation and storage resource allocation mechanism was designed using mobile social similarity. Next, with the optimization objective of minimizing the average task processing delay, we studied the combined resource allocation optimization problem and decoupled it into two sub-problems. For the service caching subproblem, we designed a stable matching algorithm by mobile social connections to dynamically update the cache resource allocation scheme for improving the task unloading efficiency. For the task offloading subproblem, a discrete cuckoo search algorithm based on differential evolution was designed to adaptively select the best task offloading scheme, which minimized the average task processing delay. Simulation results revealed that the ECORA strategy outperformed the resource allocation strategy based on particle swarm optimization and genetic algorithm, and reduced the average task processing delay by at least 7.59%. Meanwhile, the ECORA strategy can achieve superior network load balancing.

Background and Objectives. In emergency departments, chest pain is a common concern, highlighting the critical importance of distinguishing between acute coronary syndrome and other potential causes. Our research aimed to introduce and implement the HEAR score, specifically, in remote emergency outposts in Bosnia and Herzegovina. Materials and Methods. This follow-up study conducted a retrospective analysis of a prospective cohort consisting of patients who were admitted to the remote emergency medicine outposts in Canton Sarajevo and Zenica from 1 November to 31 December 2023. Results. This study comprised 103 (12.9%) patients with low-risk HEAR scores and 338 (83.8%) with high-risk HEAR scores, primarily female (221, 56.9%), with a mean age of 63.5 ± 11.2). Patients with low-risk HEAR scores were significantly younger (50.5 ± 15.6 vs. 65.9 ± 12.1), had fewer smokers (p < 0.05), and exhibited a lower incidence of cardiovascular risk factors compared to those with high-risk HEAR scores. Low-risk HEAR score for prediction of AMI had a sensitivity of 97.1% (95% CI 89.9–99.6%); specificity of 27.3% (95% CI 22.8–32.1%); PPV of 19.82% (95% CI 18.67–21.03%), and NPV of 98.08% (95% CI 92.80–99.51%). Within 30 days of the admission to the emergency department outpost, out of all 441 patients, 100 (22.7%) were diagnosed with MACE, with AMI 69 (15.6%), 3 deaths (0.7%), 6 (1.4%) had a CABG, and 22 (4.9%) underwent PCI. A low-risk HEAR score had a sensitivity of 97.0% (95% CI 91.7–99.4%) and specificity of 27.3% (95% CI 22.8–32.1%); PPV of 25.5% (95% CI 25.59–28.37%); NPV of 97.14% (95% CI 91.68–99.06%) for 30-day MACE. Conclusions. In conclusion, the outcomes of this study align with existing research, underscoring the effectiveness of the HEAR score in risk stratification for patients with chest pain. In practical terms, the implementation of the HEAR score in clinical decision-making processes holds significant promise.

Background: Post-acute sequelae of SARS-CoV-2 infection (PASC) is a complicated disease that affects millions of people all over the world. Previous studies have shown that PASC impacts 10% of SARS-CoV-2 infected patients of which 50–70% are hospitalised. It has also been shown that 10–12% of those vaccinated against COVID-19 were affected by PASC and its complications. The severity and the later development of PASC symptoms are positively associated with the early intensity of the infection. Results: The generated health complications caused by PASC involve a vast variety of organ systems. Patients affected by PASC have been diagnosed with neuropsychiatric and neurological symptoms. The cardiovascular system also has been involved and several diseases such as myocarditis, pericarditis, and coronary artery diseases were reported. Chronic hematological problems such as thrombotic endothelialitis and hypercoagulability were described as conditions that could increase the risk of clotting disorders and coagulopathy in PASC patients. Chest pain, breathlessness, and cough in PASC patients were associated with the respiratory system in long-COVID causing respiratory distress syndrome. The observed immune complications were notable, involving several diseases. The renal system also was impacted, which resulted in raising the risk of diseases such as thrombotic issues, fibrosis, and sepsis. Endocrine gland malfunction can lead to diabetes, thyroiditis, and male infertility. Symptoms such as diarrhea, nausea, loss of appetite, and taste were also among reported observations due to several gastrointestinal disorders. Skin abnormalities might be an indication of infection and long-term implications such as persistent cutaneous complaints linked to PASC. Conclusions: Long-COVID is a multidimensional syndrome with considerable public health implications, affecting several physiological systems and demanding thorough medical therapy, and more study to address its underlying causes and long-term effects is needed.

BACKGROUND We aimed to investigate the prognostic value of serum albumin-to-creatinine ratio (sACR) in carotid artery stenting (CAS) patients regarding in-hospital and 5-year outcomes. METHODS This is a retrospective study. Baseline characteristics were compared between patients by admission albumin to creatinine ratio and categorized accordingly: T1, T2 and T3. 609 patients were included in the study. Serum albumin and creatinine levels at hospital admission were used to calculate the sACR. The primary endpoint was all-cause mortality. MACE consisted of stroke, transient ischemic attack (TIA), myocardial infarction (MI) and death. All follow-up data were obtained from electronic medical records or by interview. The study was terminated after 60 months of follow-up. RESULTS Serum albumin levels were found to be significantly lower in T1, while creatinine was found to be significantly higher in T1. T1 has the lowest sACR while T3 has the highest. In hospital, ipsilateral stroke, major stroke, MI and death were significantly higher in T1. In long-term outcomes, ipsilateral stroke, major stroke, and death were significantly higher in T1. CONCLUSIONS Low sACR values at hospital admission was independently associated with in-hospital and long-term mortality and major stroke in patients underwent CAS.

: The escalating migration from rural to urban locales necessitates an augmented demand for the workforce, local utility services, and mechanization to sustain a balance conducive to public health. This investigation delineates the pivotal role of human resources in executing daily operations required for the upkeep of public green and asphalted areas within Doboj, Bosnia and Herzegovina. It is posited that teamwork and the requisite competencies of the workforce are integral to the utility company’s efficacy and the establishment of conditions requisite for addressing business tasks delineated on weekly and monthly schedules. A cohort of 20 personnel, tasked with the aforementioned responsibilities, was segmented into three categories, predicated upon their skills and capability to fulfil the designated tasks within specified temporal bounds. A novel hybrid Multi-Criteria Decision-Making (MCDM) model, integrating Improved fuzzy Stepwise Weight Assessment Ratio Analysis (IMF SWARA) with Measurement Alternatives and Ranking according to Compromise Solution (MARCOS), was employed to appraise employees across the designated categories. Decision-makers articulated five criteria, which were quantified via the IMF SWARA methodology. Subsequently, the appraisal of worker categories through three discrete models was undertaken employing the MARCOS technique. Outcomes for each category were individually derived and subjected to verification tests, revealing that criterion significance markedly influences human resource ranking. This study underscores the crucial intersection between environmental stewardship and human resource management, advocating for a systematic approach to urban maintenance that leverages MCDM techniques to optimize workforce performance.

This qualitative study explores the evolution and implications of limiting contractual liability in Saudi Arabia, focusing on the interplay between Sharia principles, international conventions, and domestic legal reforms. Through a comprehensive analysis of primary and secondary sources, including the new Civil Transactions Law 2023 and relevant legal documents, the research aims to thoroughly understand the historical roots and contemporary dynamics shaping contractual practices in Saudi Arabia. The study uncovers the challenges and opportunities inherent in harmonizing Sharia principles with global legal norms within the Saudi legal framework. Examining the new legislation reveals notable changes in the treatment of liability in commercial contracts, signaling a shift towards modernization and alignment with international standards. Its findings highlight the complexities of balancing contractual autonomy with legal constraints in the Saudi context, emphasizing the need for ongoing dialogue and research to address emerging issues and enhance the clarity and enforceability of contractual agreements. The study underscores the importance of a collaborative approach that integrates legal, cultural, and international perspectives to strengthen the legal framework and foster a conducive environment for commercial transactions in Saudi Arabia. In doing so, it offers a nuanced analysis of the legal landscape, shedding light on stakeholders' challenges and opportunities in navigating contractual practices within the Kingdom of Saudi Arabia.

Nordic agriculture faces big challenges to reduce phosphorus (P) loss from land to water for improving surface water quality. While understanding the processes controlling P loss and seeking for P mitigation measures, Norwegian and Swedish researchers have substantially benefited from and been inspired by Dr. Andrew Sharpley's career-long, high-standard P research. Here, we demonstrate how Sharpley and his research have helped the Nordic researchers to understand the role of cover crops in cold environmental conditions, best manure P management practices, and ditch processes. His work on critical source area (CSA) identification and site assessment tool development have also greatly inspired our thinking on the targeting of mitigation measures and the contextualizing tools for Nordic climate, landscape, and soils. While reflecting on Sharpley's legacy, we identify several needs for Norwegian and Swedish P research and management. These include (1) tackling the challenges caused by local/regional unevenness in livestock density and related manure management and farm P surpluses, (2) identifying CSAs of P loss with high erosion risk and high P surplus, (3) obtaining more high-resolution mapping of soils with low P sorption capacity both in the topsoil and subsoil, (4) improving cross-scale understanding of processes and mitigation measures and proper follow-up of applied mitigation measures, and (5) increasing collaborations of researchers with farmers and farmers' advisory groups and watershed groups by developing high-quality educational courses and extension materials. The needs should be addressed in the context of the challenges and opportunities created by climate change.

Canine pyometra is a common reproductive disorder of intact diestrual bitches. The disease is associated with inflammation and infection of the uterus leading to generalized illness. The varied reactions of the host to infection, inflammation, or trauma are collectively known as the acute-phase response (APR) and encompass a wide range of pathophysiological responses. One of these systemic responses to disease is an increase in the production by the liver of a number of serum proteins, which are known collectively as the acute-phase proteins (APP). The most important APPs in dogs are C-reactive protein (CRP) and serum amyloid A (SAA). When diagnosed with pyometra, the preferred and most effective treatment is ovariohysterectomy, a procedure that in itself causes systemic inflammation due to the tissue trauma caused by surgery. The purpose of this study was to identify the effect pyometra and ovariohysterectomy have on acute phase proteins and routinely measured biochemistry variables in serum of affected bitches. We achieved this by evaluating concentrations of CRP and SAA, as well as of some biochemistry parameters in serum before and after ovariohysterectomy in bitches with pyometra. Blood samples were collected from the cephalic vein immediately prior to and 24h, 72h and 168 hours after initiation of surgery. The levels of CRP, SAA and some biochemistry parameters - total protein (TP), albumin (ALB), globulin (GLOB), as well as activity of some enzymes: alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (AKLP) and lactate dehydrogenase (LDH) were determined Aims: The aim of this study was to investigate the impact of pyometra and its surgical treatment, ovariohysterectomy, on acute phase proteins, specifically C-reactive protein (CRP) and serum amyloid A (SAA), as well as on routine serum biochemistry variables in affected bitches. By evaluating the concentrations of CRP and SAA, alongside key biochemistry parameters before and after surgery, this research seeks to elucidate the physiological and biochemical responses to both the disease and its treatment, providing insight into the systemic effects of pyometra and the surgical stress response in dogs. Study Design:  The study design involved a cohort of twenty-seven female dogs, divided into two groups: seventeen clinically healthy intact female dogs serving as the control group, which were examined for routine health care or vaccinations, and ten female dogs diagnosed with pyometra at the Faculty of Veterinary Medicine, University of Sarajevo. The diagnosis of pyometra was made based on case history, clinical signs, ultrasonography, and confirmed by gross examination of the pus-filled uterus during and after ovariohysterectomy. The surgical procedure was performed using a standard mid-line approach under general inhalation anesthesia, with no post-operative complications reported. Place and Duration of Study: Faculty of Veterinary Medicine, University of Sarajevo, between June 2012 and September 2012. Methodology: Blood samples were collected from the distal cephalic vein into serum separating tubes (Vacutainer SST; Becton Dickinson, USA) for CRP and SAA measurement and serum biochemical evaluation just before the ovariohysterectomy (base values) as well as after 24 hours (day one), 72 hours (day three) and 168 hours (day seven). Blood samples from control dogs were collected only once. Serum samples were prepared by centrifugation (1.500 × g for 10 min) and stored in plain micro tubes (Eppendorf, Germany) at −20°C prior to analysis. Serum CRP concentrations in the dogs were measured with ELISA microplate reader (Anthos 2001 ELISA-reader, Anthos Mikrosysteme, Krefeld, Germany) using a commercial canine CRP enzyme-linked immunosorbent assay (ELISA) kit (Tridelta PhaseTM Range CRP Assay, Tridelta Development Limited, County Kildare, Ireland). For SAA, the analyses were performed using also a commercially available ELISA kit (Tridelta PhaseTM Range SAA Assay, Tridelta Development Limited, County Kildare, Ireland). Total protein (TP), albumin (ALB), globulin (GLOB) concentrations and alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALKP) and lactate dehydrogenase (LDH) activities were determined by using standard procedures and slides by Catalyst Dx Chemistry Analyzer, Idexx. Statistical analyses were performed using the SPSS software package (for Windows, Version 11.5, SPSS Inc, USA). All data were shown as mean ± standard deviation. The results were analyzed using the independent t-test. A P-value less than 0.05 were considered statistically significant. Results: Our results indicated significantly higher concentrations of CRP and SAA in dogs with pyometra throughout the study period compared to the control group, with CRP concentrations rising up to 15-fold and SAA up to 10-fold. Notably, these increases in CRP and SAA concentrations were mostly observed before surgery, with only limited additional increases post-surgery. This suggests that while ovariohysterectomy induces a proinflammatory response, it does not significantly escalate the levels of these proteins beyond the initial disease impact. The variability observed in CRP and SAA levels points to potential interindividual differences, impacting their diagnostic value. However, on the last postoperative day, the significantly elevated levels of both proteins in dogs with pyometra suggest a persistent, though less severe, inflammatory process, with a subsequent decline as homeostasis was gradually restored. Conclusion: The role of the acute phase response is to limit inflammation, remove the damaging factor and restore homeostasis. The systemic effects of pyometra are reflected by acute phase proteins and several biochemistry parameters.