The research includes a comparative analysis of the structure and floristic composition of different types of lawns along Belgrade roads (grass areas of roundabouts, dividing strips, areas near roads and grass areas of first order roads), their floristic composition, as well as determining changes over a period of 17 years. The analyses are based on the results of floristic research from 2002, as well as the results of field research conducted during 2019. A total of 114 plant species were recorded on the studied lawns along Belgrade roads, among which the highest proportion belongs to the category of weed species. The taxonomic analysis has shown a reduction in the recorded number of families and genera over the study period of 17 years Both studies indicate the absolute dominance of plants from the group of hemicryptophytes. The results of the research are used to provide guidelines and recommendations for improving the condition and structure of lawns along Belgrade roads. Also, they provide the basis for the future selection of adequate types of grass for the establishment of new lawns, as well as the repair of the existing ones, i.e. for the sustainable management of green spaces along city roads.

On islands and in island communities, especially smaller and more isolated ones, epidemics were often of greater intensity and left more significant consequences than on the mainland. The unique characteristics of an island (size, remoteness, isolation, small population size, and several manageable access points) affect the transmission of mainland epidemics and their frequency. The current global COVID-19 pandemic is an opportunity to investigate how the infection and epidemiological measures affected the life and death of island communities. The pandemic has brought mass death into our daily lives and altered the way people grieve, commemorate and remember their deceased. This paper presents the experiences and feelings of people during the COVID-19 pandemic on Croatian islands, with a focus on death, funerals, mourning, and the loss of family members. Due to the impossibility of carrying out the usual practices related to the funeral because of COVID-19 restrictions, the process of mourning and dealing with the loss of loved ones was difficult. Island communities accepted the new rules and adapted to the new circumstances but indicated that island-specific and more flexible crisis management should be applied during this health crisis. Some epidemiological measures, such as social distancing, internal island travel restrictions, and reduced gatherings, were highlighted by islanders as challenging and sometimes unnecessarily strict for some islands and their specific situations. For family members of those who died from COVID-19, additional factors and challenges have complicated their loss. Digital and social media were used to connect people and helped in coping with mourning in solitude and isolation. In this global pandemic, island communities responded to the impact of pandemic crises and adapted to new circumstances of the “new normal”.

Background: A significant number of patients who underwent surgical myocardial revascularization (CABG) have various comorbidities, including left ventricular diastolic dysfunction (LVDD). Objective: The aim of this paper is to show that patients with preoperative LVDD are at an increased risk of postoperative adverse events and have a worse prognosis compared to patients without LVDD. Methods: The study included 116 patients who underwent myocardial revascularization (CABG) performed at Medical Institute Bayer in Tuzla over a period of 1 year. None of the patients had previously undergone CABG or valvular surgery, or undergone stent implantation (PCI). The presence of LV diastolic dysfunction was detected by echocardiography, and the patients were divided into two groups: with and without LVDD, and further classified into three degrees of LVDD. Results: Of the total number of subjects who underwent surgical revascularization of the myocardium without echocardiographically detected LVDD, 24.1% were patients, and 75.9% were patients with LVDD. In the group with LVDD, the range of days spent in the intensive care unit (ICU) is significantly higher compared to patients without LVDD. Also, patients with LVDD had a significantly higher number of hours of inotropic support, a significantly higher number of cases of tachycardia, predominantly atrial fibrillation (POAF). In this group of patients, a greater number of other adverse events were observed, such as myocardial infarction, cardiac or renal failure, TIA or CVI. Of the total number of patients in the study, 107 patients survived surgical myocardial revascularization and had a satisfactory recovery while 9 (7.8%) survived, all from the group with LVDD. Conclusion: Patients with preoperative diastolic dysfunction of the left ventricle, especially with III degree of dysfunction, are exposed to a higher postoperative risk of adverse events such as: atrial fibrillation, prolonged stay in the intensive care unit, the need for longer-term support with inotropes, and the fatal outcome was recorded exclusively in patients with LV diastolic dysfunction.

People consumed salt exclusively through food millions of years ago, which amounted to less than 0.5 g/day. Recent researches indicate that the average daily consumption of salt is more than 10 g/day. The general conclusion of studies investigating the relationship between dietary salt intake and blood pressure led to recommendations on reducing salt intake and limiting total intake to 5 g of salt per day by the World Health Organization and the European Safety Agency of Food. Increased salt intake causes suppression of the Renin-Angiotensin-Aldosterone system by reducing sodium renal excretion. Also, an increase in salt intake leads to an increase in the concentration of sodium in the blood, which causes high secretion of vasopressin and causes high blood pressure. Namely, bread is a basic food and is high in salt, but the salt parameter is not mandatory in accordance with the regulations. Today, almost every EU country has different strategies that include recommending salt reduction through food reformulation to reduce the salt content of food, including bread and bakery products. Achieving and maintaining the reduction of the population's salt intake will soon give a great benefit in terms of the prevention of cardiovascular events as the first cause of death globally, then great savings for the health system and an individual.

Purpose . The purpose of this study is to examine the causes of delays in road construction projects in the Benin Republic from the consultant, client, and contractor perspectives. Design/Methodology/Approach . Through construction project reports, 20 factors that could cause delays in road construction projects were identified. The factors were arranged into a questionnaire, which was distributed to three separate experts. The fuzzy PIPRECIA (PIvot Pairwise RElative Criteria Relevance Assessment) method was used to calculate the independent importance of each delay factor. The Spearman and Pearson correlation coefficients were used to test the method’s consistency. Findings . The top five road construction project delays in the Benin Republic, according to the analysis of the 20 factors considered, are project funding, slowness during the client-endorsed payment process, scarcity of professional personnel, delay in indemnifying reimbursement (land-owners), and price escalation. This shows that of the various types of delays, the financial delay group is the most crucial. Originality/value. This study evaluates the causes of delays in road construction projects in the Benin Republic for the first time in literature. This study also examined the top 5 delay factors in road construction projects. This study is based on reports from road construction projects and a performed questionnaire survey. Based on the findings, measures have been formulated to aid project managers to alleviate the road construction delays in the Benin Republic. In addition, this study is practical for both scholars and road construction parties and provides a complete and verifiable analysis of the progress of a road construction project to make it easier and attain a competitive level of time, cost, and quality for successful road construction.

Introduction/Objective Patient safety is defined as the prevention of errors and adverse effects aimed at patients and associated with health care. Patient safety culture (PSC) is "the product of individual and group values, attitudes, perceptions, competencies and patterns of behaviour that determine the commitment to, and the style and proficiency of, an organization's health and safety management." Improving the perception of the PSC within the healthcare sector plays a key role in improving its overall quality, efficacy and productivity. This article aims to point out the importance of the inexhaustible and very interesting topic of safety culture as a basis for further research and strategy creation. Methods This is a qualitative research paper, based on a scientific review of the literature. Relevant articles for this review have been identified by searching digital databases: PubMed, Medline and Google Scholar. The research was retrospective and covered a timeframe of five years. Articles were selected by introducing keywords relevant to the subject. Results The results are based on the analysis and review of 12 published scientific articles from 2017 to 2021. Conclusion Patient safety must be the priority of the healthcare provider. Theoretical foundations should be combined with educational experiences following the development of knowledge, skills and attitudes for effective patient safety. Adverse event reporting should include learning from mistakes, supporting an environment that encourages reporting without blame or fear of punishment. The healthcare system needs to be made as safe as possible for both the patients and all those providing healthcare. Improving and developing the quality of healthcare requires knowledge, selection and application of specific methods and tools tailored to the capabilities of individual healthcare institutions.

Vector-borne diseases occur in the chain pathogen-vector-host, with vectors playing the most prominent role. Vectors transmit pathogens between humans, and more often, from animals to humans so that many vector-borne diseases are categorized as zoonoses. Vector-borne diseases have become more important worldwide, and not exclusively in the tropics as in the past, by causing high morbidity and mortality every year. Out of all infectious diseases, more than 17% are vector-borne. The most significant and widespread vectors are mosquitoes and ticks, and the most significant diseases are West Nile fever, yellow fever, Zika virus fever, tick encephalitis, Lyme borreliosis, Crimean-Congo hemorrhagic fever and rickettsioses. Life and preservation of the vectors, and breakouts and spread of vector-borne diseases are profoundly affected by climate change (rise in temperature and humidity, downfalls, extreme weather conditions), urbanization, deforestation, inadequate waste management, international travel, international commerce and social conditions, with poverty being the most important and directly linked to the rising incidence. In recent years, all factors mentioned above have favoured a rising number of the vectors and their spread, so that vector-borne diseases have become emergent or reemergent, meaning their high incidence have been registered in the countries with no previous breakouts; or they reoccurred in the areas where they had earlier been eradicated. Some extra reasons contributing to the increasing incidence are lowered investments and limited resources for monitoring vector-borne diseases. Most vector-borne diseases are zoonoses, making "One Health" the only appropriate approach, which implies integrated monitoring of the diseases in the sectors of both animal and human health. Prevention of vector-borne diseases should be aimed at raising public awareness on the importance of the vectors, education of the professionals and active involvement of the community as a whole.

Summary Patients are selected for radical prostatectomy with a disease limited to the organ, satisfying general condition and enough long life expectancy. Postsurgical findings often point out more advanced disease or less differentiated cancer compared to findings upon which an indication for prostatectomy was made, what affects prognosis and points out need for adjuvant treatment. The study is aimed at establishing in what manner the clinical stage and grade of the disease correlate to the definitive histological finding. The investigation was done in 80 patients with histologically proven, clinically organ confirmed prostate cancer, and initial PSA values 2-10 ng/ml, which underwent retro-pubic prostatectomy. Pathohistological analysis of complete resection sample was performed in order to establish spread and differentiation of the tumor. Clinical and pathological stage of the disease, Gleason score and Gleason grade were compared. In 11 patients (14%) extra-prostatic invasion of the disease was found following examination of the obtained slides. After surgery, in a significant number of patients inclusion of both prostate lobes was established, so the number of clinical stage T2b was significantly higher than pT2b (40 compared to 18), and T2c was significantly lower than pT2c (3 compared to 22). The Gleason score was underestimated in 25 (31, 25%) while it was overrated in 2 (2.5%). In more than one-third of patients the bioptical Gleason score was lower than the definitive pathohistologic score of the prostate slide. There is a significant difference between the biopsy and definitive pathohistologic T stage of prostate cancer also in a sense of underestimation. The frequency of established extra-capsular invasion and lymphatic metastasis corresponds to the rates of predictive models (Partin tables). The study did not show extra-capsular invasion in cases of well-differentiated prostate cancer (Gleason score ≤ 6).