BACKGROUND Regional wall motion abnormality (RWMA) is considered a sensitive and specific marker of ischemia during stress echocardiography (SE). However, ischemia is a multifaceted entity associated with either coronary artery disease (CAD) or angina with normal coronary arteries (ANOCA), a distinction difficult to make using a single sign. We aimed to evaluate the diagnostic potential of the ABCDE-SE protocol for CAD detection. METHODS From the 2016-2022 SE-2030 study data bank, we selected 3229 patients (age= 66±12 years, 2089, 65% males), with known CAD (n=1792) or ANOCA (n= 1437). All patients were studied with both ABCDE-SE protocol and with coronary angiography, within 3 months. Step A assesses RWMA; step B, B-lines/diastolic function; step C, left ventricular contractile reserve; step D, coronary flow velocity reserve (CFVR) in the left anterior descending artery; step E, heart rate reserve. RESULTS SE response ranged from score 0 (all steps normal) to score 5 (all steps abnormal) . In CAD, the rate of abnormal results was 347 for A (19.4%), 547 (30.5%) for B, 720 (40.2%) for C, 615 (34.3%) for D, and 633 (35.3%) for E step. In ANOCA, the rate of abnormal results was 81 (5.6%) for A, 429 (29.9%) for B, 432 (30.1%) for C, 354 (24.6%) for D, and 445 (31.0%) for E step. The dominant "solitary phenotype" was step B in 109 (9.1%) patients. CONCLUSION Stress-induced ischemia presents with a wide range of diagnostic phenotypes, highlighting its complex nature. Utilizing a comprehensive approach such as the advanced ABCDE score, which combines multiple markers, proves to be more valuable than relying on a single marker in isolation.

Introduction: Laboratory professionals (LP) are exposed to various hazards in the workplace, whose direct and/or cumulative effects can lead to the development of health disorders of varying severity. Our study aims to assess the level of occupational risk in biomedical laboratories. Subjects and methods: A cross-sectional study was conducted between November 2020 and February 2021. The study included LP of all profiles in Europe, and the territorial affiliation of the respondents formed the basis for the formation of the groups studied. A validated questionnaire used for data collection was distributed online through the networks of professional associations. Based on the type of agent, frequency of exposure, characteristics of the workplace and work process, and individual factors, an occupational risk assessment matrix was created in categories ranging from low to very high. Descriptive and inferential statistical methods with a statistical significance threshold of 5% (p ≤ 0.05) were used for the statistical analysis. Results: Significant differences in risk categorization were found between the groups studied (p < 0.001). Overall, 81.2% of LP in the European Union fall into the medium risk category, while more than half (52.1%) of LP and 1.7% of LP in Bosnia and Herzegovina fall into the high and very high risk categories. Higher education, service longer than 21 years, public sector, and biochemistry laboratory were identified as predictors of high risk, while predictors of very high risk were higher education, service of 21 to 30 years, public sector, and histopathology and molecular laboratories. Conclusions: Lack of equipment, organizational issues and working conditions were identified as weak points that directly correlate with risk levels in biomedical laboratory workplaces. Additional efforts to control exposure in biomedical laboratories are needed to maintain the health of LP.

Uvod: Biotin, vitamin H ili vitamin B7, je topiv u vodi i neophodan je za reakcije karboksilacije, glukoneogenezu i metabolizam aminokiselina. Preporučena doza za odrasle je 0,03-0,06 mg/dan. Terapija visokim dozama biotina medicinski je indicirana za urođene pogreške metabolizma (nedostatak biotinidaze) i određene oblike alopecije, obično u dozama 5-10 mg/dan. U kliničkom ispitivanju je primjena biotina u dozi od 300 mg/dan kao tretman za progresivnu multiplu sklerozu. Materijal i metode: Streptavidin i manjim dijelom avidin nekovalentno se vežu za biotin s posebno jakim afinitetom, a trajnost te interakcije iskorištava se u laboratorijskim tehnikama kao što su western blot, protočna citometrija, imunohistokemija i imunohemijski testovi. Prema trenutačnim istraživanjima, poznato je da biotin uzrokuje interferencije u imunohemijskim testovima. Biotin ima sposobnost vezanja na različite molekule (biotinilacija) uz minimalne promjene u funkcionalnih ili antigenskih svojstava. Interferencije sa biotinom uključuju brojne imunohemijske testove kao što su proteini i steroidni hormoni, tumorski markeri, mikronutrijenti i lijekovi. Rezultati: Biotin može lažno povećati ili smanjiti rezultate u kompetitivnome i nekompetitivnome “sendvič” imunohemijskom testu. Niža povećanja vrijednosti obično se čine manje značajnima u usporedbi s visokim odstupanjima kod povišenih koncentracija biotina, ali mogu biti od terapijske i dijagnostičke važnosti. Osobito za procjenu hormona štitnjače (T3, T4, fT3, fT4), steroidnih hormona (kortizol, progesteron, testosteron i estradiol) kao i vitamina B12 i folne kiseline u slučaju postojeće interferencije biotina teško će se razlikovati deficit, referentna vrijednost odnosno povećanje. Interferencija sa biotinom mogla bi se ukloniti sa serijskim razblaženjem uzorka, ponavljanjem analize na drugoj metodi koja ne koristi biotin, utvrđivanjem koncentracije biotina i uklanjanjem biotina prije nego što se uzorak testira. Zaključak: Preporuka je da pacijent prestane sa terapijom biotina 3 dana prije uzorkovanja krvi odnosno 14 dana ako se koriste visoke doze biotina.

Uvod: Heterogena priroda akutne mijeloične leukemije (AML) iziskuje primjenu specifičnih i pouzdanih laboratorijskih testova pri postavljanju dijagnoze. Istraživanja ukazuju na određene nedostatke konvencionalnih morfoloških i imunofenotipskih metoda, ali i potrebu za imple-mentacijom kompleksnog dijagnostičkog algoritma koji uz navedene metode inkorporira citogenetičke i molekularno-genetičke analize u integrirani dijagnostički pristup. Cilj: Predstaviti prednosti i nedostatke integriranog dijagnostičkog pristupa u dijagnostici akutne mijeloične leukemije. Metode: Za potrebe neeksperimentalnog kvalitativnog istraživanja, pretražene su relevantne baze podataka (PubMed, Scopus i Web of Science). Pretraga baza u širem opsegu provedena je uz pomoć ključnih riječi acute myeloid leukemia, cytomorphology, flow cytometry, cytogenetic abnormalities i molecular diagnostics. Za konačnu analizu, odabrani su naučni radovi koji zadovoljavaju kriterije relevantnosti i povezanosti s postavljenim ciljem i temom istraživanja. Rezultati: Integracija dijagnostičkih modaliteta u AML predstavlja veliki izazov zbog kontinuriane složenosti i opterećenja za zdravstvene profesionalce. Kao značajne prednosti izdvajaju se mogućnost umrežavanja rezultata različitih dijagnostičkih modaliteta, te detekcija nespecifičnih i izazovnih slučajeva AML. Prijavljeni nedostaci se odnose na potrebu za jedinstvenim protokolima, nepredvidiv turnaround time, validaciju i potrebu za visoko specija-liziranim osobljem. Danas se sve više pažnje pridaje AI (engl. artifical intelligence) i njenoj sposobnosti da obradi podatke s ciljem pružanja brzih i preciznih dijagnostičkih i prognostičkih informacija što predstavlja obećavajući koncept u AML-u. Usvajanje ove paradigme znatno bi olakšalo trenutne pristupe i unaprijedilo koncept zdravstvene zaštite. Zaključak: Integrirani dijagnostički pristup ima za cilj poboljšati kvalitet pojedinačnih metoda primjenom dosadašnjih saznanja i paralelnim testiranjem novih mogućnosti. S razvojem precizne medicine, ovaj dijagnostički model će u budućnosti dobiti dodatni značaj. Neovisno od utvrđenih prednosti i nedostatka, dostupna istraživanja ukazuju na nužnost dodatnih napora i primjenu AI za uspostavljanje standardiziranog integriranog pristupa na globalnom nivou.

Abstract Tourist boards, through their social activities, can make a tourist destination, tourist attractions and tourist products attractive, unique, and special. Through relevant scientific knowledge, using the tools and techniques of destination management as well as modern forms of communication, tourist boards can make the entire area of a tourist destination very interesting and desirable for tourist visits throughout the year by promoting the specificity, authenticity and originality of the tourist offer and tourist products. Keywords: tourist board; tourism promotion through sports and sports recreation competitions; tourism promotion through social networks, tourism

The Aether-Scalar-Tensor (AeST) theory is an extension of General Relativity (GR) which can support Modified Newtonian Dynamics (MOND) behaviour in its static weak-field limit, and cosmological evolution resembling ΛCDM. We consider static spherically symmetric weak-field solutions in this theory and show that the resulting equations can be reduced to a single equation for the gravitational potential. The reduced equation has apparent isolated singularities at the zeros of the derivative of the potential and we show how these are removed by evolving, instead, the canonical momentum of the corresponding Hamiltonian system that we find. We construct solutions in three cases: (i) in vacuum outside a bounded spherical object, (ii) within an extended prescribed source, and (iii) for an isothermal gas in hydrostatic equilibrium, serving as a simplified model for galaxy clusters. We show that the oscillatory regime that follows the Newtonian and MOND regimes, obtained in previous works in the vacuum case, also persists for isothermal spheres, and we show that the gas density profiles in AeST can become more compressed than their Newtonian or MOND counterparts. We construct the Radial Acceleration Relation (RAR) in AeST for isothermal spheres and find that it can display a peak, an enhancement with respect to the MOND RAR, at an acceleration range determined by the value of the AeST weak-field mass parameter, the mass of the system and the boundary value of the gravitational potential. For lower accelerations, the AeST RAR drops below the MOND expectation, as if there is a negative mass density. Similar observational features of the galaxy cluster RAR have been reported. This illustrates the potential of AeST to address the shortcomings of MOND in galaxy clusters, but a full quantitative comparison with observations will require going beyond the isothermal case.

Increased number of children with autism spectrum disorder (ASD) has also heightened interest in finding and providing appropriate interventions. Early intervention is implemented at the moment when deviations are noticed, without waiting for an official diagnosis. Parents are crucial participants in interventions carried out with children; therefore, this research considers interventions focused on training parents to work with children with ASD up to the age of six. For the purposes of this paper, we searched the following journals: Autism, Focus on Autism and Other Developmental Disabilities, and Research in Autism. The search was limited to editions from 2012 to 2022, and the following keywords were considered: parent training, early intervention, autism. References were searched manually. The initial search yielded a total of 992 articles. Twenty-four studies related to children up to six years old and involving parent training in early intervention were included in the analysis. Using a tool for assessing quantitative studies, the selected studies were evaluated, with each component assessed based on the information contained in the study as good, moderate, or weak. The overall rating for the paper can be strong, moderate, or weak. This paper highlights the importance of support to enhance parental competencies.

Abstract Background Almost 50% of NSCLC patients who initially show a successful response to tyrosine kinase inhibitors targeted therapy (TKI therapy) eventually develop acquired EGFR T790M mutation. The T790M secondary mutation can cause resistance to the targeted therapy and disease relapse. Since this mutation can be present at very low frequencies in liquid biopsy samples, droplet digital PCR (ddPCR), due to its high sensitivity, has opened the possibility for minimally invasive monitoring of the disease during TKI targeted therapy. Materials and methods For this study, a total of 45 plasma samples from NSCLC patients with previously detected EGFR-activating mutations were analyzed. Extracted circulating free DNA was amplified and examined for the presence of T790M mutation using ddPCR technology. For the data analysis, QuantaSoft Software was used. Results Of 45 tested plasma samples, a total of 14 samples were identified as positive for the T790M mutation. The same samples eventually showed the presence of T790M mutation in FFPE. Droplet digital PCR showed its great advantage in high sensitivity detection of rare allele variants. Our ddPCR assay detected T790M mutant allele in frequencies from 0.1%. The average number of droplets generated by ddPCR was 9571. Conclusion Monitoring of the T790M mutation has an important role in the examination of the effects of the prescribed TKI therapy. Since monitoring of potential changes during TKI therapy requires repeated sampling, our results showed that ddPCR technology has made it possible to use liquid biopsy as an adequate minimally invasive alternative for single nucleotide polymorphisms (SNP) detection.

In the past ten years, there has been significant growth in tourism worldwide, including in Bosnia and Herzegovina. The tourism sector is facing a series of challenges and limitations in the general business environment due to the COVID-19 pandemic, as is the entire global economy. The current pandemic has slowed down the growth of world tourism and thus led to the poorer performance of private tourism subjects and an increase in unemployment in the sector. This study aims to analyse the habits of the inhabitants of Bosnia and Herzegovina and the changes in behaviour caused by the COVID-19 pandemic. The two main questions entertained are: whether socio-demographic variables influenced the intention to travel during the COVID-19 pandemic, and whether tourist travel habits influenced the intention to travel during the COVID-19 pandemic. The study uses a quantitative research approach that included data collection through an online survey. The questionnaire link was distributed electronically, via Facebook (social network), and e-mail. The population included in this research are the inhabitants of Bosnia and Herzegovina. The convenience sample included 265 respondents and the research was conducted for one and a half months (from March 2, 2022 to May 17, 2022). The results of the research show that socio-demographic factors influenced the intention to travel during the COVID-19 pandemic and that respondents who own a car would travel more in 2022 than respondents who do not own a car; that respondents aged 31-50 would travel more in 2022 than the older respondents, that respondents who are employed would travel more in 2022 than pensioners, that respondents living in a household of 1-2 members would travel more in 2022 than respondents living in a household of 5 or more members, that respondents with postgraduate studies would travel more in 2022 than respondents with elementary studies only and that respondents with a monthly income of over 2,500 BAM would travel more in 2022 than respondents with monthly income between 500 to 1,500 BAM. The results also show that those respondents who travelled frequently before the COVID-19 pandemic would travel less in 2022 in the context of the current situation of the COVID-19 pandemic.

We consider the machinability of the material as a technological feature that expresses the ability of the material to remove the maximum number of shavings from its machined surface in the minimum time with satisfactory processing quality, with as little cutting force as possible and as little tool wear as possible. The aim of the experimental research in this work is to examine the significance of the influential kinematic parameters of the roughness of the machined surface, i.e. of wood density (ρ), feeding speed (s’) and the number of spiral cutting knices (z) in the process of planning massive wood on the roughness of the newly created processing surface, which will vary in 14 trials, of which 6 are repetitions in the central point of the compositional plan, where the roughness parameter Ra is obtained as an output value, and the analysis of experimental data from the point of view of possible achievement of a better quality of the processed surface. The obtained mathematical model is essentially applicable and can be used to optimize the machinability parameters in the planning process of solid wood, and the experimental results can be used in further research into other parameters of the machinability of solid wood in the planning process.

Paper presents comparative analysis of experimental and analytical results of mechanical properties on truss members. Deformations are experimentally determined on the model of plexiglass truss, using six strain gauges. Strain gauges are measuring the deformation of truss members at the pre-defined measuring points. Knowing modulus of the elasticity and Hooke’s law, it is possible to calculate the stress values. The experimental stress values will be compared with the values obtained by the software and the results will be analyzed.