Our aim was to determine the prevalence of potential drug-drug interactions (pDDIs) and to identify relevant factors associated with the occurrence of the most dangerous or contraindicated pDDIs (pCDDIs) in hospitalized patients with spontaneous intracerebral hemorrhage (sICH). A retrospective cross-sectional study was performed enrolling all consecutive patients with sICH treated at the Neurological Intensive Care Unit, Clinical Center in Kragujevac, Serbia, during the three-year period (2012-2014). The inclusion criteria encompassed patients aged 18 years and over, those diagnosed with ICH, and those prescribed at least two drugs during hospitalization, while we did not include patients whose hospitalization lasted less than 7 days, those who were diagnosed with other neurological diseases and patients with incomplete medical files. For each day of hospitalization, the online checker Micromedex® software was used to identify pDDIs and classify them according to severity. A total of 110 participants were analysed. A high prevalence of pDDIs (98.2%) was observed. The median number of pDDIs regardless of severity, was 8.00 (IQR 4.75-13.00;1-30). The pairs of drugs involving cardiovascular medicines were the most commonly identified pDDIs. Twenty percent of the total number of participants was exposed to pCDDIs. The use of multiple drugs from different pharmacological-chemical subgroups and the prescribing of anticoagulant therapy significantly increase the chance of pCDDI (aOR with 95% CI 1.19 (1.05-1.35) and 7.40 (1.13-48.96), respectively). This study indicates a high prevalence of pDDIs and pCDDIs in patients with sICH. The use of anticoagulant therapy appears to be the only modifiable clinically relevant predictor of pCDDIs.

Objectives: Improved serological detection of specific antibodies against SARS-CoV-2 could help estimate the true number of infections. Methods: A total of 443 serum samples provided by unvaccinated patients of all ages with unknown COVID-19 status that were originally submitted for routine screening or clinical management from outpatient laboratory during the March–April 2021 (third wave) were collected. Seroprevalence of IgM/IgG antibodies was determined by lateral flow immunoassay (Tigsun, Beijing, China). Results: Among 443 serum samples, 186 (42.0%) were positive (incidence of 5.2/1000) with slight predominace of females, 104 (55.9%), highest seropositivity in 25–50 and 51–64 years age groups, 61 (32.8%) and 57 (30.6%), respectively (P < 0.05); rural population was more prevalent, 101 (54.3%) (P < 0.05) and active workers, 86 (41.1%). Almost equal number of patients was with or without symptoms, 48.4% and 51.6%, respectively. For the comparison, in the same period it was registered 296 (out of 855; 34.6%) PCR SARS-CoV-19 positive persons (incidence of 8.2/1000) with the higher gender (females) and the highest age prevalence in 51–64 years age group (36.8%). In the period March 2020–June 2021, it was registered 804 (out of 3323; 24.2%) (incidence of 22.3/1000) PCR SARS-CoV-19 positive persons with no significant gender and significant age difference (25–50 and 51–64 years group, respectively). Conclusion: In the regions with high prevalence/incidence of SARS-CoV-2 in the general population (Bosnia and Herzegovina is on the World top on the number of deaths) seroprevalence measuring can help tracking the spread of disease.

Introduction: Laboratory and anthropometric parameters for assessing lipid metabolism disorders are important for atherogenesis and the occurrence of cardiovascular disease. Material and Methods: The study was designed as a prospective longitudinal study, meant to assess the risk of cardiovascular disease, which included initial measurement of lipid status, CRP, and BMI, and repeated measurement after DASH diet and exercise. It was conducted on a sample of 60 female respondents. Results: Following the WHO categorization of BMI, the study found that 62% of respondents were overweight, 26% were obese, and only 12% of respondents were at ideal body weight. After the DASH diet and exercise program, the average value of BMI M = 27.02 was established. Analyzing the values of the CASTELLI 1 index in 95.9% of respondents, high values of M = 5.3 were observed, which indicates a high risk of CVD. The study results indicate that the average value of cholesterol, triglycerides, LDL-C significantly reduced after two months of adherence to the DASH diet and exercise. With the help of Spearman’s rank, the correlation coefficient indicated the existence of a positive relationship between the CASTELLI 1 index and total cholesterol, triglycerides and HDL-C. In the initial analysis, CRP had a high value (M = 10 mg/L). In contrast, after the program, the CRP value decreased to (M = 4 mg/L), and a significant negative correlation (p <0.01) was observed between CRP and HDL-C, indicating that HDL-C value as a protective lipoprotein for blood vessels increased. CRP decreased after two months of DASH diet and exercise. Conclusion: With this research, we aim to draw attention to the importance of promoting healthy lifestyles and creating adequate risk assessment models with a well-developed strategy that will include anthropometric, laboratory and other multidisciplinary aspects to combat cardiovascular

Introduction : Scoliosis is a three-dimensional deformity of the spine that is defined mainly on the basis of lateral curvature of the spine. It is divided into functional and structural scoliosis. Scoliosis can lead to prolonged improper posture, back pain

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The paper presents the distribution of grassland and forest vegetation in the Republika Srpska, zoning by natural regions and altitude zones and the changes that occurred in the period 2000-2018. The territory of Republika Srpska belongs to three large natural regions of different physical and geographical characteristics, with specific environmental factors that affect the distribution of vegetation. Altitude significantly affects the occurrence and types of vegetation, so a digital elevation model with a 25 m resolution was used for the analysis of vertical zonality, in order to process data on the distribution of grasslands and forests by altitude zones. Copernicus Grassland and Forest databases were used, for the period 2012-2018. Given climate change and increasing droughts, which indirectly affect the quantity and quality of vegetation, monitoring and managing grasslands and forests will be an important challenge for Republika Srpska. The results of the research show that the grassland according to the Copernicus Grassland database occupies 19.7%, and the forest vegetation according to the Copernicus Forest covers 60.1%, which is almost 80% of the territory of Republika Srpska. Grasslands are most widespread in the area of medium-high and high karst fields of eastern Herzegovina. There are more pastures in the lower altitude zones, while natural grasslands predominate in the higher zones. Forests predominate in the central mountain-valley region. Broad-leaved forests dominate at lower altitudes and coniferous forests at higher altitudes. The European program for monitoring the Earth's surface via satellite remote sensing is a new technology, so the results obtained for the territory of Republika Srpska can be considered a novelty, which is the most significant contribution of this paper.

Two databases related to grassland in Bosnia and Herzegovina (B&H) have been used in this research-the Copernicus Grassland (GRA) and CORINE Land Cover (CLC). The data have been processed by using GIS tools, and the spatial distribution of grass vegetation in relation to three biogeographical and four elevation zones has been determined. By using the Copernicus Water and Wetness (WaW) database, an insight into the coverage of grass vegetation in wetlands has been obtained. In addition, the analysis of changes in databases determined the total amount and location of the largest grassland losses. Based on GRA database, B&H is one of the richest countries, with 22.4% of its territory covered by grassland. According to the CLC database, pastures occupy 6.3% and natural grasslands 5.6% of the territory of B&H. However, grassland is exposed to various anthropogenic and natural processes that affect its distribution, quality, functions, etc. The CLC database has been processed by extracting the grasslands (pastures and natural grasslands) and calculating their spatial coverage and changes which happened during the three six-year periods from 2000 to 2018. The trend of decreasing pasture areas and increasing natural grasslands has been noticed. The pastures are most endangered by the processes of conversion to other types of agricultural land, while natural grassland increased spatial coverage during the period 2012-2018 mostly due to the revitalization and grazing of burned areas in the region of Herzegovina. Grasslands have been particularly targeted for afforestation and cropland conversion at present.

Cancer is an abnormal proliferation of cells that is characterized by the presence of genomic alterations including DNA mutations, deletions, insertions, translocations, inversions, and others. KRAS gene is one of the most mutated genes across different cancer types. The most common mutations in KRAS are found in codons 12 and 13 of KRAS protein, which are associated with a lack of response to anti- epidermal growth factor receptor (EGFR) antibody therapy. This study assessed and compared the performance between two diagnostic methods: droplet digital PCR (ddPCR) and next generation sequencing (NGS). The main goal was to determine KRAS G12 / G13 mutant allele fraction using NGS and to compare the accuracy toddPCR. A total of 28 samples of non – small cell lung cancer (NSCLC) and colorectal cancer (CRC) were analyzed using ddPCR and NGS methods. Our results show that even though both methods exhibited high rate of concordance and correlation, the study proved that ddPCR is more superior when it comes to detecting low frequency mutations. Even though strong correlation was observed, based on the values obtained, we concluded that ddPCR is more accurate, reliable, and sensitive in comparison with NGS.

Greenhouse gases emission as well as total energy consumption in buildings of public importance, such as schools, municipal buildings, health care centers, can be significantly reduced by increasing buildings? energy efficiency. Buildings? energy consumption adds up to 37% of total energy consumption in the European Union countries. In the Republic of Serbia this amount is significantly higher, about 50%. School buildings are considered as one of the most diverse structures from the point of energy-efficient design and construction. The main aim of this paper is to determine the most appropriate settings for possible improvements in energy efficiency and temperature comfort inside a typical primary school classroom in Serbia. The energy efficiency analysis was performed during the heating season for the naturally ventilated primary school classroom located in the Eastern Serbia region. The analysis was performed using novel computational fluid dynamics model, suggested in this paper. The suggested model was used to solve two hypothetical scenarios. The first scenario simulates the temperature field in classroom with current energy characteristic envelope of the school building. The calculated numerical data from the first scenario were compared with in-situ measurements values of temperature and wall heat fluxes and showed satisfying accuracy. The second scenario was simulated to indicate possible improvements, which would allow energy consumption decrease and thermal quality enhancement. The analyzed results, calculated using the suggested numerical model under the second scenario conditions, showed that using appropriate set of measures, it is possible to obtain desired temperature comfort levels without need for increase in the building energy consumption.

The energy transition basically implies a phased and significant reduction in the use of fossil fuels, until the final cessation of use in the near future. Renewable energy sources and alternative fuels are an increasingly important part of the energy transition. At the same time, it is necessary that energy systems increase energy efficiency and environmental acceptability. In this regard, great efforts are being made to expand the portfolio of primary fuels in existing large energy systems, e.g. thermal power plants. Therefore, today in large boilers, in order to reduce NOx emission, staged air supply for combustion is inevitably used as the primary measure in the furnace (air staging). In addition to the previous measure, there are many examples of staged fuel supply to the combustion zone (fuel staging), and still a small number of examples of the use of third or additional fuel, e.g. application of biogas or natural gas in combustion of pulverized solid fuels (reburning technology). General, these measures simultaneously increase the efficiency of primary energy conversion from fuel and reduce the emission of undesirable components into the environment. The results of this paper show the extent to which the effects of the use of natural gas in the co-firing of Bosnian coal and waste wood biomass are expressed. In this process there is an additional reduction of NOx in proportion to the share of gas - at a process temperature of 1350 °C and at 10% of the energy content of gas in combustion with coal, compared to emissions without additional fuel, recorded reduction of NOx emissions by more than 250 mg/mn 3.

Introduction/Objective Cat bites can seriously harm human health, especially if the bite comes from a stray or feral cat who is not under veterinary supervision. Cat bites are the second most common mammal bites, second only to dog bites, and responsible for ¾ of all bites that result in infection. We are presenting the case of a young woman whose hand had been bitten by a stray or feral cat. The objective of this case study is to stress the importance of timely medical treatment and wound management based on guidelines for treating bites inflicted by stray or feral cats, aiming to prevent possible complications. Case report A 32-year-old woman was admitted and examined in the University of Sarajevo Clinical Centre Emergency Department on the third day after being bitten by a stray or feral cat, by which time all signs of inflammation had already developed at the site of the injury-her right hand. Medical help was provided based on guidelines that included specific wound dressings recommended for animal bites, a prescription of antibiotics, analgesics and an anti-tetanus shot. The patient fully recovered with no complications. Conclusion The specific anatomy of the cat's canines enables them to penetrate deeply into the bitten tissue, which can cause an innoculation of a wide range of microorganisms from the cat's mouth into the patient's bloodstream. This can cause serious inflammatory processes, especially in immunocompromised patients. Adequate medical treatment of injuries resulting from cat bites is necessary as soon as possible, but no later than 48 hours after the incident.

The Lece mine is characterized by the fact that it has gold and silver besides the main valuable components in the flotation concentrates of lead and zinc. Practically since the opening of the mine and flotation, research has been carried out with the aim of obtaining better technological indicators on all four valuable metals (lead, zinc, gold and silver), especially on gold. This paper represents a contribution to that research in order to increase the recovery of gold in flotation concentrates. Gold occurs in ore in several ways (native, with lead and zinc, with pyrite and quartz), which requires a complex technological scheme of gold valorization. Most of the gold is bound to galena and is valorized through lead concentrate. A smaller part of the gold is bound to zinc and is valorized through zinc concentrate. However, about 25% of the gold remains in tailings. Researchers ie. the authors of this paper tried to valorize part of the gold that is lost in the tailings by introducing a third pyrite concentrate with an increased gold content. The paper presents the results of laboratory experiments on the possibility of obtaining pyrite concentrate from the Lece tailings and a proposal for a technological scheme of the process.

Introduction. A specific characteristic of the elderly is brittleness or fragility, and due to its prevalence, fragility needs to be understood as a public health priority. The aim of the study was to examine the association of functional and anthropometric parameters with fragility in persons over 65 years of age. Method. The study was designed as a cross-sectional study and included 446 elderly people. As research instruments, a general questionnaire was used to assess the functional status of the Tinetti test and, of anthropometric parameters, the circumference of the upper arm and the circumference of the middle part of the lower leg. We used the ch2 test and Pearson's correlation analysis as statistical tests. Results. Females had poorer functional status, walking, and balance compared to males (ch2 = 4.125; p <0.127). It was observed males subjects had higher values of upper arm circumference (26.96 ± 3.44) compared to females, while females had higher values of the middle circumference of the lower leg (32.66 ± 6.29). Analyzing the correlation of anthropometric measurements with the total score of the Tinetti test and in relation to subjects' gender, it was noticed there is a correlation analysis between the parameters. Conclusion. A high percentage of people over the age of 65 have poor functional status, as well as lower values of anthropometric markers, suggesting that they may be potential risk factors for the fragility in the elderly.