Background and Objectives: Patient satisfaction with health care can influence health care-seeking behavior in relation to both minor or major health problems or influence communication and compliance with medical advice, which is especially important in emergencies such as the COVID-19 pandemic. Thus, it is important to continually monitor patient satisfaction with provided care and their dynamics. The aim of this study was to assess patient satisfaction with health care during the COVID-19 pandemic in the adult population of the Federation of Bosnia and Herzegovina (FB&H) and compare it with levels of satisfaction in the same population before the COVID-19 pandemic. Materials and Methods: A representative, population-based survey was implemented in the adult population of the FB&H using the EUROPEP instrument, which measures satisfaction with health care using 23 items. The sample included 740 respondents who were 18 years or older residing in the FB&H and was implemented in December 2020. All data were collected using a system of online panels. The survey questions targeted the nine months from the beginning of the pandemic to the time of data collection, i.e., the period of March to December 2020. Results: The mean composite satisfaction score across all 23 items of the EUROPEP tool was 3.2 points in all age groups; the ceiling effect was 22% for the youngest respondents (18–34 years old), 23% for 35–54 years old, and 26% for the oldest group (55+), showing increasing satisfaction by age. The overall composite score for both females and males was 3.2. The ceiling effect was higher in those with chronic disease (29% vs. 23% in those without chronic disease). The composite mean score for respondents residing in rural vs. urban areas was 3.2 with a ceiling effect of 22% in rural and 24% in urban residents. When comparing mean composite scores surveyed at various points in time in the FB&H, it was found that the score increased from 3.3 to 3.5 between 2011 and 2017 and dropped again to 3.3 in this study. Despite these observations in the overall trends of satisfaction scores, we note that no statistically significant differences were observed between most of the single-item scores in the stratified analysis, pointing to the relative uniformity of satisfaction among the analyzed population subgroups. Conclusions: The rate of satisfaction with health care services in the FB&H was lower during the COVID-19 pandemic compared to 2011 and 2017. Furthermore, while an increasing trend in satisfaction with health care was observed in the FB&H during the years prior to 2020, the COVID-19 pandemic may have contributed to the reversal of this trend. It is important to further monitor the dynamics of patient satisfaction with health care, which could serve as a basis for planning, delivering, and maintaining quality services during the COVID-19 pandemic and other emergencies.
Introduction: Diabetes mellitus type 2 (T2DM) significantly increase the risk of cardiovascular (CV) disease morbidity and mortality. This study aimed to evaluate the potential of some novel anthropometric indices and adipocytokines to evaluate CV risk among T2DM patients. Methods: A total of 112 patients (men, 57; women, 55) with T2DM visiting Family Medicine and Endocrine counseling in the area of Health centers of Sarajevo Canton were included in this study. The sera samples were analyzed for fasting blood glucose (FBG), HbA1c, lipid profile parameters, adiponectin, and resistin levels. The Adiponectin/Resistin Index (A/R Index) was estimated using the formula. The novel anthropometric measurements, including the Conicity index (CI), Lipid Accumulation Product (LAP), visceral adiposity index (VAI), abdominal volume index (AVI), and Body adiposity index (BAI) were estimated. The 10-year risk for coronary heart disease (CHD) and fatal coronary heart disease (fCHD) is calculated by using UKPDS Risk software. Results: The adiponectin was shown as a statistically significant negative association with CHD in female subjects, and the A/R index as a statistically significant association with CHD and fCHD in male subjects. The AVI is superior to the CI, LAP, VAI, and BAI in assessing cardiometabolic risk in T2DM patients. Conclusions: Our study indicated that measuring adiponectin and A/R index, together with measuring AVI as a measure of general volume, can be used as surrogates in the evaluation of high cardiovascular risk among T2DM patients.
<p>U ovom radućemo dati procjene sume ℎ pomoću elementarnih metoda. Navedena suma je poopćavanje problema djelioca i koristi se u procjeni broja podgrupa konačnog indeksa u kristalografskim grupama ([1], [2]). </p>
Over 700 bike-sharing systems are currently in operation worldwide, and the number of systems has grown quickly in recent years. Rwanda's bike-sharing system has only recently begun operations and has encountered numerous challenges. The current study used an Ordinal Priority Approach (OPA) to examine these challenges and provide an acceptable strategy for overcoming them. Five strategies have been established. These strategies are prioritized using four criteria. The results indicate that “theft” and “damage of some bikes when being returned” are the most critical challenges while the first alternative “improving the current bike infrastructure to better serve the bike share system” is the appropriate strategy to overcome these challenges for a successful operation of the bike share system. Taking into account the findings, recommendations were provided to help local administrative bodies handle these challenges.
Steel X8CrNiS18-9 (standard EN 10088-3: 2005) is the most commonly used from the group of austenitic stainless steel in terms of machinability. The content of sulphur present in the steel from 0,15 to 0,35% has the exclusive task to improve the machinability. However, while sulphur improves machinability it simultaneously reduces the resistance of steel to corrosion but also affects the decrease in mechanical properties particularly steel toughness. Due to its harmful effect on the steel, as well as the fact that the non-metallic inclusions are insufficiently tested for this type of high-alloy steel the aim of this study is to determine the appropriate microalloying possibility to modify the non-metallic inclusions. The aim of this work is that explore the influence of boron, zirconium, and tellurium on the impact toughness of the mentioned steel. Change of impact toughness, depending on the chemical composition of the steel is simulated with the Matlab program.
Sulphur in steel is an undesirable element because it lowers all technological and uses values of steel products. During the steelmaking process, the desulphurization process depends on the thermodynamic conditions, the used desulphurizes, and the stability of the formed sulphides. The desulphurization technology in the production of low-carbon steel in a protective atmosphere, with the addition of synthetic slag and strong desulphurizing agents with additional argon blowing, is presented in this paper. The reduction of sulphur content achieved in the induction furnace is an important contribution to the technology of the production of low-carbon steels.
This paper analyses the statistical parameters that give a comprehensive overview of the socio-demographic state of the border areas of Bosnia and Herzegovina, and it represents a novel attempt to examine the disparity and relationships between central and peripheral parts of national territory. The methodology is based on examining the differences between border and non-border municipalities/cities according to four groups of indicators, to obtain four indices: depopulation, natural change, ageing and education. Statistically significant differences were found primarily in the context of population age structure, and it can be concluded that the ageing process has affected bordering regions more than the rest of the country.
Stress caused by drought induces plant morphology, biochemistry, and physiology changes, leading to considerable reductions in plant growth and productivity. This study aimed to evaluate the antioxidant defence system of impatiens seedlings (Impatiens walleriana L.) under drought. The antioxidant response of impatiens to drought was evaluated using following parameters: the activity of catalase, guaiacol peroxidase, pyrogallol peroxidase and ascorbate peroxidase, total phenolic and flavonoids contents and total antioxidant capacity. The experiment was conducted during 2020 in a greenhouse under controlled conditions. Half of the impatiens seedlings (20 plants), after the acclimation period in the greenhouse, were exposed to drought for a period of five days, while the second half was not (20 plants were regularly watered). The results of the study showed that the exposure of impatiens seedlings to drought increased the activity of enzymatic components, total phenolics and flavonoids contents and total antioxidant capacity of leaves. Greater exposure of impatiens to drought (in the observed period) implied a higher plant enzymatic and non-enzymatic antioxidant defence system activity. These results confirm that impatiens has evolved both enzymatic and non-enzymatic antioxidant defence mechanisms to adapt and survive the short-term drought exposure.
In the Bosnian-Herzegovinian literary field, Alija Nametak established himself as a storyteller and novelist, but not as a poet and playwright. In this paper, for the first time, the poetic and stylistic-formational features of Nametak's poetry published from 1925 to 1932 in the magazines Jugoslovenska njiva, Književnik and Novi Behar are fully presented. His youthful poetry, stratified into an intimate and social thematic-motive register, flirts with contemporary modernist and avant-garde poetic tendencies, which we find in the poetry of Muse Ćazim Ćatić and Hamza Huma. The second part of the paper deals with his dramatic work: from historical drama (Narodna vlada), to comedy (Omer za naćvama and Abdullah-paša u kasabi), all the way to the holy-historical legend (Jusuf and Zulejha). Except for the last play, which remained in the manuscript legacy, in all the others there is a critical attitude towards certain social deviations. While in the drama Narodna vlada Nametak develops a patriotic discourse as a form of anti-colonial resistance, in the comedies Omer za naćvama and Abdullah Paša u kasabi, in the spirit of folk and palanquin carnival culture, he undermines primitivism and stereotyped roles in society. In the drama Jusuf and Zulejha staged the Qur’anic-Biblical historical story about Yusuf a.s. (Joseph.) As a folklorist, Nametak introduced various elements from folk life and customs into the drama, not only to create a context for shaping the character of his characters but also to use their potential for popular, carnival, and subversive distortion of established social and cultural norms and patterns. The poetry and drama of Alija Nametka, in a literary-historical sense, are significant because they reveal this writer to us as the protagonist of a multiple literary identity – it is a kind of identity of resistance which, apart from the already established religious and ethnic one, is realized in the social and feminist dimension as well.
The paper presents three literary images of the coexistence of Jews and Muslims in Ottoman Bosnia. The pictures chronologically represent a hodogram of coexistence from the 16th to the beginning of the 20th century. The first picture is Sušić's short story Šta učini Don Daniel Rodriga, in which the author first shows the early relationship between Bosnian Muslims and Jews in trade between the Ottoman Empire and the Venetian Republic, and then the social controversies that accompanied that process. The second picture is based on Bašeski's Ljetopis and presents a picture of coexistence in the daily life of Sarajevo in the 18th century, where it does not only include the beautiful and positive, but also the negative representations. However, this picture shows the dynamic connections between Muslims and Jews at the national level, but also the differences and tensions conditioned by the social, religious, and political context. The third picture represents the positive relationship between Muslims and Jews in the example of literary representations of Sarajevo’s Purim. Here we analyze the different interpretations of this event, as well as how much they, regardless of evident contradictions, together influenced the shaping of the discourse about this holiday of Sarajevo’s Jews.
Chronic myeloid leukemia (CML) is a myeloproliferative haematological malignancy characterized by constitutive activation of BCR-ABL1 tyrosine kinase in the majority of patients. BCR-ABL1 expression activates signaling pathways involved in cell proliferation and survival. Current treatment options for CML include tyrosine kinase inhibitors (TKI) with resistance as a major issue. Various treatment options for overcoming resistance are being investigated. Among them, phytochemical curcumin could play an important role. Curcumin has been found to exhibit anti-cancerous effects in various models, including CML, through regulation of multiple molecular signaling pathways contributing to tumorigenesis. We have evaluated curcumin’s effects on imatinib-sensitive LAMA84S and K562, as well as imatinib-resistant LAMA84R cell lines. Our results indicate a significant dose-dependent decrease in cell viability and proliferation of imatinib-sensitive and imatinib-resistant cell lines after curcumin treatment. Suppression of key signaling molecules regulating metabolic and proliferative events, such as Akt, P70S6K and NF-kB, was observed. Increased expression of caspase-3 suggests the potential pro-apoptotic effect of curcumin in the imatinib-resistant CML model. Additional in silico molecular docking studies revealed binding modes and affinities of curcumin with different targets and the results are in accordance with in vitro findings. Altogether, these results indicate the potential role of curcumin in the treatment of CML.
This text is a review of a book Mujo Koštić's Lexicon of Elementary School Teachers in Sarajevo from 1878 to 1918, Sarajevo: National and University Library of Bosnia and Herzegovina, 2020.
This paper contains an analysis of the selected scenes from the play Krokodil Lacoste / Silvertown by Zlatko Topčić. The play won the “Alija Isaković” award in 2010, while the Cultural Association of Bosniaks Preporod published its dual Bosnian and English edition in 2016. The segments are analyzed parallelly in Bosnian and English for the purpose of observing the level of functional equivalence in the target text. The analysis entails extralinguistic and linguistic categories in accordance with the model developed by Hatim and Mason (1990) and later expanded by Zhang et al. (2015). The extralinguistic category includes, among others, the culture-translation relationship, and the linguistic category entails three dimensions: communicative, pragmatic, and semiotic. The analysis in this case includes the communicative and semiotic components.
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