Connected and automated vehicles rely on data from various entities to support safety-critical applications such as Cooperative Adaptive Cruise Control (CACC). However, unauthorized data manipulation through, for example, data injection attacks can compromise vehicle safety and lead to incidents. Existing vehicular security mechanisms, such as Misbehavior Detection System (MBD), have limitations in detecting and mitigating all types of threats on their own. To address these limitations, our prior work has proposed the concept of a Trust Assessment Framework (TAF), which assesses data trustworthiness by combining evidence from multiple security systems operating as trust sources. However, TAF as a concept has not been extensively evaluated in safety-critical Cooperative Driving (CD) applications. In this work, we refine the architecture of the TAF and implement a software prototype based on it. We integrate the TAF prototype with a CACC simulation environment and implement three types of data injection attacks. We demonstrate that by incorporating multiple security mechanisms as trust sources, the TAF significantly improves attack detection performance and reduces the number of crashes by 86% compared to using a single security mechanism, such as MBD.

Authors in this paper investigates the relationship between the business environment and the operating performance of the plastic products manufacturing sector intended for the construction industry in Bosnia and Herzegovina (BiH). The focus is placed on how regulatory and institutional conditions impact economic indicators such as sales revenue growth, profit, export earnings, total assets, and employment. Since empirical studies in this area are scarce, this research contributes to filling an important academic gap. The study relies on both secondary and primary data sources. First, the business environment of BiH is evaluated using reports. Second, financial and operational data were collected for the top 20 companies in the plastic products manufacturing sector for the construction industry in BiH. The analysis covers the period 2015–2024, using indicators of revenue, profit, exports, total assets, and number of employees. A trend analysis was conducted to identify growth patterns, while a qualitative assessment was applied to connect these trends with the conditions of the business environment. The analysis of company performance reveals a positive growth trend in all major economic categories. Sales revenue steadily increased between 2015 and 2024, reflecting growing demand in the markets. Profitability improved despite regulatory barriers, indicating a strong adaptive capacity of firms. Export earnings expanded, showing that plastic product manufacturers. Total assets of the companies grew significantly, suggesting reinvestment and capacity expansion. Employment levels also increased, underscoring the sector’s contribution to job creation. These results support the hypothesis of a significant impact of the plastic products manufacturing industry on economic performance indicators in BiH.

Wearable electrochemical biosensors offer a promising alternative to conventional invasive blood‐based methods for monitoring biomarkers in diagnostic or therapeutic applications. Microneedle (MN)‐based technology provides direct access to the skin's interstitial fluid (ISF), enabling real‐time monitoring of biomarkers. Nevertheless, current micro‐ and nanofabrication techniques do not adequately support the development of MN‐based wearable technology that can utilize soft hybrid conductive inks, limiting its use in transdermal biosensing. Herein, an MN‐based biosensing platform is developed by integrating 3D printing, soft lithography, and hybrid conductive ink technology, featuring a fenestrated MN shell (FMNS) that serves as a protective layer for the inner hybrid conductive ink coating and prevents delamination during skin application. This FMNS patch demonstrates a wide pH monitoring range, high selectivity and accurate detection of subtle ISF pH changes, safe integration of hybrid conductive inks, and reduced fabrication time and cost when compared to other microfabrication methods such as lithography and deep reactive ion etching. The biosensor excels in protecting the biosensing layer and demonstrates excellent analytical performance in monitoring changes in pH levels of the skin ISF. This micro‐ and nanofabrication approach has great potential in integrating hybrid conductive ink technology into transdermal wearable devices for health monitoring and diagnostics.

We chart new-physics models that produce exotic, high-multiplicity muon decays featuring prompt or displaced $e^+e^-$ pairs and/or photons, with or without missing energy, such as $\mu \to 5e$, $\mu \to 7e$, etc. Starting from an effective-field-theory perspective, we estimate the reach on the ultraviolet scale and identify conditions under which lower-multiplicity modes are suppressed or occur at comparable rates. We then construct explicit realizations in minimal dark-sector models with light, feebly interacting particles, such as flavor-protected scalars, dark photons, inelastic dark matter, and axion-like particles. The predicted novel signatures can be probed at MEG II and Mu3e, as well as during calibration runs of COMET and Mu2e. A future discovery would provide valuable insights into short-distance dynamics and the mechanism of lepton-flavor symmetry breaking.

BACKGROUND Inflammatory bowel disease (IBD) may negatively affect health-related physical fitness. However, the development of interventions to improve health-related physical fitness and thereby disease outcomes is hindered by insufficient evidence. This study compared health-related physical fitness between patients with IBD and healthy control subjects, examined associations with disease and treatment characteristics, and explored patients' perspectives. METHODS In this cross-sectional study, 105 patients with IBD and 102 age- and sex-matched healthy control subjects performed validated tests for body fat (4-site skinfold thickness), cardiorespiratory fitness (steep ramp test), muscular strength (steep ramp test, 60-second sit-to-stand test, hand-held dynamometry), muscular endurance (isokinetic dynamometry), and flexibility (sit-and-reach test). Data on disease and treatment characteristics, fatigue, physical activity, and patients' perspectives were collected. RESULTS Patients with IBD had higher body fat (29.5% vs 26.9%; P = .012), lower steep ramp test performance (peak work rate 4.2 W/kg vs 4.8 W/kg; P < .001), fewer sit-to-stand repetitions (42 vs 47; P = .002), and reduced hamstring strength (3.0 N/kg vs 3.2 N/kg; P = .011) compared with healthy control subjects. This was associated with higher age, female sex, higher body mass index, fatigue, arthritis, and multiple biologicals used. Most patients considered physical fitness important and beneficial for their symptoms, and the majority expressed interest in professional support. CONCLUSIONS Patients with IBD have higher body fat and reduced cardiorespiratory fitness and muscular strength compared with healthy control subjects. Especially, patients with a higher age, female sex, higher body mass index, fatigue, arthritis, or multiple biologicals used are at risk for such impairments and may benefit from physical exercise interventions.

Background Accessibility and affordability of medicines are key for patients’ effective treatment. However, drug prices are soaring, and patients are looking for cheaper medications in Europe and beyond. This study aimed to evaluate European pharmacists’ perceptions and attitudes about the impact of global inflation and the military conflict setting in Ukraine on patients’ buying medicines behaviours. A secondary objective comprised the problem of buying medicines from illegal online sources like social media or non-regulated marketplaces. Methods An observational cross-sectional study was conducted from April 2023 to April 2024 using an anonymous and self-designed questionnaire consisting of 11 questions. The survey was created using Google Forms. The survey link was shared mostly by e-mail amongst practising pharmacists from five European countries. Results Events of the recent years, such as inflation, the COVID-19 pandemic, or the war in Ukraine were perceived by the pharmacists as contributing to patients looking for better medicines prices, mostly related to online purchases. The most important factors influencing online purchase of medicines beyond price were convenience of shopping anytime, and fast and free delivery. There is a perceived growing interest in buying medicines from online facilities other than e-pharmacies, such as local websites, social media or global marketplaces (e.g., aliexpress.com). Pharmacists do not actively inform their patients about the possible risks of buying medicines from unverified online sources. Conclusion International disruptions seem to contribute to patients’ looking for better prices of medicines. There is a need for societal education about the risks related to the possibility of counterfeited medicines online, as well as pharmacists’ training to prioritize patient information and counselling on the hazards of medication acquisition from non e-pharmacies. There is an urgent need for global amendments to the pharmaceutical law to protect patients from illegal e-sources of medicines while keeping in-person services and offline purchases.

The Central and Eastern Europe (CEE) region differs in access to HIV and co-infections care and treatment. The aim of the study was to analyze the relation between the severity of the COVID-19 disease and HIV specific factors in the European Union (EU) Countries and in non-European Union (non-EU) Countries.The study was conducted between November 2020 and May 2021. Euroguidelines in Central and Eastern Europe (ECEE) Network Group was collecting observational data on HIV-positive patients diagnosed with COVID-19. In total, 16 countries from CEE (Poland, Czech Republic, Ukraine, Croatia, Turkey, Romania, Belarus, Estonia, Lithuania, Greece, Georgia, Albania, Hungary, Serbia, Bosnia and Herzegovina, and Bulgaria) submitted data on HIV-positive patients using an electronic case report form (eCRF). Chi-Square test was used for group comparisons.In total 557 patients were included into the analyses: 361 from EU and 196 from non-EU countries. Access to remdesivir was 1.5% in non-EU countries vs 3.9% in EU-countries (p= 0.1952) . Symptoms of COVID-19 occurred more often in non-EU countries (93.3%) vs non-EU countries (83.6%) [p=0.0009], as well as hospitalization 32.8% vs. 20.8% respectively [0.0027]. Death/ICU was 4.8% in non-EU countries vs 3.4% in EU-countries (p=0.4877). In total 18 (3.23%) patients found out about HIV diagnosis during COVID-19, which was comparable in two groups (11 [3.0%] in UE countries vs. 7 [3.6%] in non-UE countries; p=0.8029).Patients from non- EU countries were more likely to be COVID-19 symptomatic and hospitalized. Access to antiviral therapy for SARS-CoV-2 was very low for all CEE countries.

Pain remains one of the most burdensome symptoms in rheumatoid arthritis (RA), often persisting despite inflammatory remission and profoundly impairing quality of life. This review aimed to evaluate the clinical efficacy and mechanistic pathways by which Janus kinase (JAK) inhibitors alleviate RA-related pain. Evidence from randomized clinical trials demonstrates that JAK inhibitors have demonstrated rapid and significant pain relief, often exceeding that of methotrexate or biologic DMARDs. Improvements in patient-reported pain scores seem to typically emerge within 1–2 weeks and are sustained over time. Beyond anti-inflammatory effects, JAK inhibitors modulate central sensitization and nociceptive signaling by attenuating IL-6 and GM-CSF activity, reducing astrocyte and microglial activation, and downregulating nociceptor excitability in dorsal root ganglia and spinal pathways. Preclinical models further suggest that JAK inhibition interrupts neuroimmune feedback loops critical to chronic pain maintenance. Comparative and network meta-analyses consistently position JAK inhibitors among the most effective agents for pain control in RA. However, individual variability in response, partly due to differential JAK-STAT activation and cytokine receptor uncoupling, underscores the need for biomarker-guided treatment approaches. JAK inhibitors represent a mechanistically distinct and clinically impactful class of therapies that target both inflammatory and non-inflammatory pain in RA. Their integration into personalized pain management strategies offers a promising path to address one of RA’s most persistent unmet needs.

Symptomatic Meckel’s diverticulum (MD) has various clinical presentations and can be easily misdiagnosed. This multicenter study examines the clinical characteristics, management, and outcomes of patients across five academic pediatric surgery centers in Bosnia & Herzegovina and Serbia. We retrospectively included all pediatric patients (< 18 years) who were surgically and histopathologically confirmed to have symptomatic MD between 2011 and 2020. Demographics, clinical and radiological features, surgical treatment approaches, histopathologic findings, and outcomes were collected and analyzed. Among 151 patients (80.1% male), the median age was 6.7 years (IQR 1.5–10.8). Presentations included intestinal obstruction (38.4%), GI bleeding (37.8%), and peritonitis (23.8%); 63.6% had multiple symptoms. A technetium-99 m scan was positive in 80.7% of bleeding cases. Laparotomy was performed in 72.2%, laparoscopy in 23.2%, and conversion in 4.6%. Partial small bowel resection was required in 80.8%, versus diverticulectomy in 19.2% (p < 0.001). Ectopic mucosa was found in 55.6% (gastric 48.3%, pancreatic 2.6%, both 4.6%; p = 0.05), significantly more common in males (p < 0.001). Postoperative complications occurred in 3.2%, with no mortality. Symptomatic MD displays highly variable clinical presentations. It is often underdiagnosed preoperatively, particularly without GI bleeding, emphasizing the need for high clinical suspicion and tailored surgical approaches.

Using the RadSawSim simulator for radial sawing, a simulation of the radial sawing technique was used to saw Pedunculata oak (Quercus robur L.) logs. Simulation was implemented with a view to producing as many radially sawn boards as possible and took into account the influences of increasing volume yield, lumber value yield, and log-value yield. The methods that were analyzed were live sawing and radial sawing of third sections, fourth sections, fifth sections, and sixth sections of the log. Live sawing achieved the best results of volume yield during simulation, which was followed by radial sawing into the third, fourth, fifth, and sixth sections. The difference in volume yield with live sawing compared to the radial-sawing method is very large for logs up to a diameter of 45 cm. It becomes smaller when the log diameter is greater than 45 cm. A comparison of the radial method shows that the share of radially sawn boards and lumber value yield increased when the number of log sections during sawing simulation increased. If log-value yield is assumed to be the main criterion, and given the conditions used in this simulation, there is no justified reason to saw logs using the radial technique when the diameter is less than 45 cm. The live sawing technique is more efficient for these diameters of logs, and, therefore, the radial sawing technique is more efficient for logs with a diameter greater than 45 cm.

This paper explores the role and status of the family within the legal framework of Bosnia and Herzegovina, analyzing how international norms and national laws affect the rights and protection of families. The paper specifically examines the alignment between national legislation and international legal standards, with a particular focus on the challenges of implementing these norms. The study focuses on the definition of family in a legal sense, fundamental principles regulating the status of families in international law, and the significance of families in society. Key issues related to domestic violence, economic instability, and institutional weaknesses are highlighted as central obstacles to effective family protection. It also examines how international obligations are implemented in the national law of Bosnia and Herzegovina, identifying key challenges that families face, including social, economic, and legal aspects. The objectives of this paper are to analyze the legal frameworks applied to families, identify challenges in the everyday lives of families, and propose solutions to improve their status and protection. The recommendations aim at improving institutional capacities, enhancing legal enforcement mechanisms, and providing stronger support for vulnerable families, especially in post-conflict settings. The methodology includes comparative analysis of international conventions and national laws, literature review, case studies, and analysis of statistical data. The expected outcomes of this paper include a deeper understanding of the legal and social context affecting families in Bosnia and Herzegovina, identification of key barriers hindering the full protection and realization of family rights, and proposals for specific solutions to improve their position in society. The paper provides concrete recommendations for strengthening the legal framework and suggests policy improvements to support families, focusing on compliance with international standards, and aims to contribute to strengthening social cohesion and economic stability through a better understanding and protection of the family as a fundamental social unit.

The neuroanatomy course consistently presents significant challenges, primarily due to the short lifespan of formalin-preserved brain specimens and their restricted availability. Numerous studies have evaluated the strengths and limitations of alternative resources for neuroanatomy education, with a particular focus on technology-based learning methods. This study aimed to assess the effectiveness of integrating 3D printed models into the neuroanatomy curriculum and to evaluate student satisfaction with their use. The experimental group consisted of the first-year students enrolled in the integrated study program at the University of Sarajevo-Veterinary Faculty during the summer semester of the academic year 2022/2023. The course was organized using 3DP models for 15 h, while during the remaining three hours formalin-preserved specimens were utilized. Data obtained from this cohort were compared with the results of the previous two cohorts (2021–2022 and 2020–2021), who studied veterinary anatomy exclusively using formalin-preserved specimens. The neuroanatomy test scores improved in the experimental group compared to the two control groups. The students exhibit positive attitudes and report high satisfaction with using 3DP models. They support innovative teaching methods and find that the colored segments of the models enhance recognizability of different anatomical structures, highlighting the didactical value of 3DP models. Overall, study demonstrated that 3DP models were highly beneficial for neuroanatomy learning, pedagogically useful and well-received by students.

Antimicrobial resistance (AMR) is an appreciable threat to public health, especially among low- and middle-income countries (LMICs), exacerbated by high levels of inappropriate prescribing and dispensing of antibiotics in these countries. There have been variable levels of dispensing of antibiotics without a prescription among community pharmacies in South Africa. Given the importance of community pharmacies, especially in rural South Africa, there is a need to assess their knowledge and attitudes towards antibiotics, AMR, and antibiotic stewardship. This was the aim of this study.A previously piloted questionnaire was administered to pharmacy personnel currently operating community pharmacies in a rural province in South Africa, where dispensing of antibiotics without a prescription is likely to be greatest. The questionnaire included key knowledge questions regarding antibiotics and AMR, as well as ways to reduce AMR. Community pharmacies were divided into three categories: Independent, chain, and franchise pharmacies.A total of 128 pharmacies participated (75.7%), with independent pharmacies representing the majority (60.9%). A total of 313 completed questionnaires were returned (78.3% response rate), including responses from 106 pharmacists (33.9%) and 207 pharmacist assistants (66.1%). Overall, there was very good knowledge among both community pharmacists and pharmacist assistants concerning antibiotics and AMR. However, there was a significant misconception regarding the potential role of antibiotics in relieving pain. Encouragingly, attitudes regarding the risks associated with obtaining antibiotics without a prescription among both community pharmacists and pharmacist assistants were high. There was also strong agreement among both community pharmacists and pharmacist assistants for potential solutions to AMR.Overall, the findings showed that most pharmacists and pharmacist assistants in this rural province demonstrated a strong understanding of the effectiveness of antibiotics in bacterial infections and their lack of effectiveness to treat viral infections. They also demonstrated considerable knowledge regarding the risks associated with the inappropriate dispensing of antibiotics without a prescription, as well as ways to address rising AMR rates.

Current standard treatments for osteosarcoma have not been changed for decades and have limited and variable success. The advancement of precision medicine technologies, along with the drug-repurposing and fast drug-screening methodologies available, has opened new avenues for the development of more effective therapeutic strategies. In this study, we evaluated the effectiveness of halogenated boroxine (HB) and dextran-coated cerium oxide nanoparticles—DexCeNPs (SD2)—in an in vitro osteosarcoma model. Both agents were tested individually and in combination. The research encompassed assessments of treatment-related cytotoxicity and cell viability, oxidative stress, and apoptotic and necrotic responses, as well as the effects on 3D spheroid models. The results demonstrated that the effects of HB and SD2 were strongly influenced by the dose, exposure time, and cell type. Both exhibited distinguished antitumor activity through cytotoxicity and specific reactive oxygen species (ROS) induction. The combined treatment produced modulated responses that were dependent on the treatment ratio and cell line, suggesting potential synergistic or selective interactions. Notably, the outcomes of the analysis conducted in 3D models revealed reduced toxicity toward non-tumor cells. These findings suggest the improved efficacy of HB and SD2 used in combination as a selective and novel antitumor strategy and underscore the need for further mechanistic studies at the transcriptomic and proteomic levels to elucidate the underlying pathways and clarify the mechanisms of action.