This review is remembrance on occasion of 35 years of MIE ‘90 held in Glasgow which organized by UK and Scottish Association of Medical Informatics, and chaired by John Bryden and his team with support by European Federation for Medical Informatics (EFMI). It was my first participation at MIE Conferences, in that time as General Secretary of Yugoslav Association of Medical Informatics (YAMI) and officially accepted as a member of EFMI and IMIA. Besides our President of YAMI, Professor Gjuro Dezelic, one of founders YAMI (with Izet Masic, Stefan Adamic, Rajko Vukasinovic, as presidents of Bosnia and Herzegovina, Slovenian and Serbian Societies of Medical Informatics in 1987) participants at MIE ‘90 have been, also, our colleagues: Josipa Kern, Nada Dezelic, Silvije Vuletic, Visnja Lovrek, Miroslav Madjaric, etc. It was my first active participation at MIE Conferences, and after this meeting, year by year I continued until today. Let me say some important facts about it as my personal story -„Medical Informatics Journey“, during the last 35 years, from Glasgow 1990 until today.

Background: Medical deontology rests on two of its pillars. One is medical ethics, and the other is medical law, i.e. legal regulations that regulate work on health protection and improvement. Ethics is of exceptional importance for medicine, due to the specificity of its calling. Objective: The aim of this article was to explaine the role of medical ethics and medical right in the healthcare professional praxis. Methods: The author used important scientific and professional literature regarding medical deontology, medical ethics and medical low published in the books, monographs and papers deposited in the scientific indexed databases PubMed Central, HINARI, Embase, etc. Results and Discussion: The specificity stems, first of all, from the fact that medicine deals with human life and health, which, in itself, carries a great responsibility. The relationships established between medical professionals and patients are also specific. In this relationship, the patient is in a subordinate and dependent position, which creates preconditions for his abuse. Due to the nature of the work, it is difficult to establish external supervision or control in order to prevent these abuses. This in turn emphasizes the importance of internal supervision and control with the help of medical ethics. Medical ethics sensitizes medical professionals to problems of an ethical nature and helps them recognize and solve them. Medical ethics is, in fact, a set of principles or rules of conduct that a medical professional must follow when making decisions about what is right and wrong, what is permitted and prohibited, what is good and bad for the patient, but also for the community. Making these decisions is often not easy. Conclusion: There are ethical principles that can conflict, which leads to ethical dilemmas, which are sometimes difficult to resolve. Take, for example, the obligation of a doctor to take into account the interests of the patient and to maintain his medical confidentiality. At the same time, however, he must also take care of the interests of the community or other persons. There are cases when the health, and even the lives of those other persons, could be endangered without revealing the medical confidentiality. Medical ethics helps resolve such and similar dilemmas.

Background: During the last ten years, there has been a dysplosis in the development of digital libraries, which have taken precedence over classical libraries. Objective: With this article, we want to make a kind of comparison of classic and digital libraries, with a description of the pros and cons of both, so we can easily see their advantages and disadvantages. Methods: Authors used as source published papers deposited in indexed databases like PMC, MEDLINE, HINARI, etc. regardsing to appropriate facts about classic and digital libraries in Bosnia and Herzegovina and wordwide. Results and Discussion: Libraries, even a scientific one, must have professionally trained staff and an appropriate technological infrastructure, the main component of which is the Library Information System (BIS). It is a phrase that refers to an integrated library system, which consists of online databases, digital libraries, electronic books, magazines and various multimedia formats on which information sources are stored (hard disks, CDs, USB sticks, DVDs, etc.). In the past, libraries tended to develop means or instruments that would enable access to documentary resources on the spot, i.e. in the library itself - through the catalog. Later, a lot of effort was invested in the development of an automatic version of these local tools - by creating an online catalog for accessing data about library resources from a distance, such as, for example, (www.cobiss.ba) maintained by the National and University Library in Sarajevo (www.nub.ba) with members of the Virtual Library of Bosnia and Herzegovina (ViBBIH) consortium. Thanks to information technology, libraries were able to automate their many functions such as: acquisition, loan, material processing and other work procedures that were previously performed manually. The publishing production of databases has enabled libraries to offer users, through free access or licensing, access to the most diverse contents, Conclusion: Thus, digital libraries have numerous advantages, they are organizations that offer resources for use, include professional staff that select, organize, provide intellectual access, explain, distribute, preserve the integrity and ensure the durability of collections of digital works in such a way that they are ready and economically available for use by one or more communities. However, time steps on us every day, and so does technology, and new inventions, computers, cell phones, so I believe that we should not ignore the beauty when we pick up a book and read it. The historical value of books should not be neglected, both for our sake and for the sake of future generations.

Background: Whatever is done should be systematic, meaning to have an established system of steps from the beginning to the end of the action. Systematicity is especially important in writing a scientific research paper, because the more complex is the topic, the easier it is to make an error. In order to minimize the possibility of errors, many have proposed various mechanisms of systematicity in the form of steps. Objective: The aim and topic of this article is to describe the system of steps in writing a scientific research paper from the birth of an idea, to the publication and presentation of a scientific paper, and to present a scientific research paper as accessible, suitable for work and perhaps even as enjoyment for scientists. Methods: The author used appropriate and relevant sources - books, monographs, published articles, proceedings from the scientific conferences about preparing, publishing, and printing scientific papers which are deposited in the most influential indexed databases in the fields of science editing. Results and Discussion: Scientific research work is of great importance in the development of science, and is one of the key links in the education system, it is part of the culture of the individual and the nation, it contributes to the development of the individual and the community, and it is one of the sources of knowledge. The systematicity of writing a scientific research paper can be broken down into several parts: the scientist preparation, the preparation of the material, the performance of the action, the statistical analysis and interpretation of the data obtained from the research and their final analysis and interpretation for the purposes of publication in scientific and professional journals. The scientist preparation includes the scientist's intention, with which everything begins and which is ultimately an important measure of the quality of the work. At this stage, the scientist should not be affected by the „publish or parish“ syndrome, vanity or the desire for fame, because in these cases he may resort to means of intellectual dishonesty in research and lose honor and reputation. With the view that the works are evaluated and toward the end, we must not neglect the rest of the steps in the creation of scientific research work. Through the preparation of the material, online databases are described, which are a source of important information for anyone who wants to be involved in scientific research. Conclusion: In the step of performing the action, the very act of writing a scientific research paper, its structuring and the rules to be followed when writing the paper are described. The method of publishing the work is also described, as well as guides on how to present the work so that the message sent reaches the audience. By knowing all the steps of creating a scientific research paper, it becomes tempting and accessible to write and publish quality and practically applicable papers.

Background: The prevalence of obesity and obesity-related clinical conditions, including metabolic-associated steatotic liver disease (MASLD), sarcopenia, and a wide spectrum of pathological manifestations, is rising globally. According to WHO, BMI is the only anthropometric measure currently used to classify obesity, overweight, and underweight. However, emerging research suggests that obesity is a complex pathological state influenced by multiple etiological factors. Given the limitations of BMI, there is a growing need for a more comprehensive assessment of body composition, particularly fat mass quantity and distribution. Bioelectrical impedance analysis (BIA) provides valuable anthropometric data that can help differentiate obesity phenotypes and guide improved therapeutic approaches. Objective: This study aims to analyze body composition using BIA in a randomly selected sample of adults from primary healthcare settings in Bosnia and Herzegovina. The primary goal is to assess total body weight, fat mass quantity, fat distribution, and obesity types prevalent in this population. Additionally, the study seeks to establish reference values for further diagnostic, preventive, and therapeutic strategies to improve public health outcomes. Methods: A cross-sectional study was conducted on adults (≥18 years) in Gračanica, Bosnia & Herzegovina (B6H), from January 2021 to January 2025. Inclusion criteria required participants to provide signed informed consent, while exclusion criteria included acute systemic diseases, severe dehydration, and fasting for more than 24 hours. Anthropometric parameters measured included age, height, weight, BMI, body fat mass (BFM), fat-free mass (FFM), percent body fat (PBF), waist-hip ratio (WHR), and bone mineral content (BMC). Data were analyzed using SPSS (version 18), with results presented as medians, interquartile ranges, and percentiles (5th, 25th, 50th, 75th, and 95th). Results: A total of 4,628 adults participated in the study, of whom 2,824 (61.0%) were female and 1,804 (39.0%) were male. The median age was 45 years (IQR: 29 years). The findings revealed that over one-quarter of the B&H population is obese, with abdominal obesity being the predominant type. This phenotype is associated with the highest risk for metabolic syndrome and MASLD. Conclusion: Our study highlights a high prevalence of obesity among the examined individuals in primary care settings in B&H, with abdominal obesity being the most common type. This phenotype is strongly associated with metabolic complications. BIA-derived parameters of fat distribution and visceral fat mass may serve as valuable tools for improving obesity classification and developing more effective preventive and therapeutic strategies.

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Background. The novel SARS-CoV-2 virus initiated one of humanity’s biggest pandemics, swiftly spreading worldwide and inducing significant health issues. This virus prompted widespread changes, with initial inadequate immune response and a lack of effective drug therapies. Consequently, every organ, particularly the respiratory and nervous systems, was susceptible to infection. The Covid-19 pandemic ended in 2023, but ongoing symptoms led to the term Long Covid and chronic manifestations. Objective: The aim of this article was to describe the important role of health professionals, especially family physicians and their teams when and how to identify common neurological symptoms and clinical conditions during pandemic and post-pandemic period. Methods. A systematic review gathered data on neurological symptoms and complications in Covid-19 patients, ranging from mild, like headache, to severe, such as encephalitis and stroke. Results and Discussion. Analysis revealed a significant proportion of Covid-19 patients experiencing neurological manifestations, with about one-third exhibiting symptoms. Epidemiological data showed ongoing Long Covid symptoms alongside acute manifestations. Many of cases with Long Covid related neurological complications were presented. Common neurological manifestations included chronic fatigue, changes in smell and taste, brain fog, headaches, fibromyalgia, cognitive impairment, and mood disorders. Severe Covid-19 cases were more likely to exhibit neurological complications, such as ischemic brain vasculitis and thromboembolic events, associated with higher mortality rates. Neurological complications of Covid-19 are frequent and diverse, necessitating a multidisciplinary approach in diagnosis and treatment, coordinated by primary care physicians. In practice, it is necessary to monitor the patient’s immune status over a longer period, and coagulation disorders (D-dimer) for adequate therapy and rehabilitation. Very important is to recognize the immune response after an acute infection. Due to the epidemic occurrence of Long Covid, it is necessary to introduce the above-mentioned procedures also in case of clinical signs of Long Covid. There are several hypotheses for the causes of Long COVID symptoms, including immune disorders, persistence of the virus in various organs, and microvascular coagulation changes. Within primary healthcare as the first line of defense it is necessary to address stress caused by COVID-19, try to recognize the affected other organ systems. Conclusion: The family doctor with his communication skills can make connection with the secondary and tertiary levels and the consulting services of immunologists, microbiologists, nutritionists, pharmacist, physiatrist and infectiologist. The family medicine team plays a key role in prevention, random detection and adequate medical procedures. The main interventions at the primary level should include education, emotional support, specific nutrition interventions and lifestyle modifications.

Background: The scientific researchers have the role of interacting through published articles in scientific journals or presentations at scientific and professional conferences where they can affect the practices that can make achievements to society and country. or worldwide. Objective: The aim of this article was to describe bibliometric indexes and explained its importance for its evaluation and measuring quality assessment of published papers in scientific journals and advantages and disadvantages of current bibliometric portals for creating the list of universities and its academic staff by counts of deposited articles in databases and number of its citations. Methods: The author searched the most influential online databases and analyzed deposited papers by bibliometric indexes, and used a descriptive method to review important facts about bibliometrics experiences in scientific and academic practice. The author used facts deposited on the main international portals for analyzing number of citations of deposited scientific papers on Scopus and Google Scholar platform–h–Index and i10-Index and number of citations as basic data for created top list of most citated scientists in almost of all countries in the world. Results and Discussion: Bibliometric methods are used for quantitative analysis of written materials. Citation is influenced by: article quality, understanding of the article, language in which the article is written, loyalty to a group of researchers, article type, etc. Some indicators used in evaluating scientific work are Impact factor (IF); Citation of the article; Journal citations; Number and order of authors, etc. The index factor of influence depends on the quality of the journal, the language in which it was printed, the area it covers, and the journal distribution system. The portals and its platforms: Webometrics, “AD Scientific Index” and Stanford Bibliometric List are not fully relevant for measuring quality assessment of universities and its academic staff. Conclusion: Current academies and academicians can propose criteria how improve indexing scientific papers with the consultation of scientific bodies and experts at universities in one country, selected regions, or worldwide. These criteria should be necessary for quality assessment of the scientific curriculum of scientists and their published papers in scientific journals.

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Background: In the year 2024 Bosnia and Herzegovina celebrates anniversaty of three important healthcare institutions: the Vaqf's hospital in Tuzla established in 1874, Regional hospital in Sarajevo (Landesspital) established in 1894 and the first Faculty of Medicine in Bosnia and Herzegovina established in Sarajevo in 1944. Objective: The aim of this article was to describe historical facts how mentioned institutions were founded and what was importance of functioning all of them during history of health care education and healthcarte protection. Methods: The author searched important historical facts about establishing and works Hastahana in Tuzla, Landesspital in Sarajevo and Medical faculty in Sarajevo, writen in the books and articles deposited in indexed databases PubMed Central, Scopus, Hinari, Embase, etc. Results and Discussion: The first hospital (hastahanas, named as Waqf's hospitals, besides other 4 - established in Tuzla, Mostar, Travnik and Banja Luka) has been founded in Sarajevo in 1866, which was founded by Governor Serif Osman Topal Pasha and doctor Jozef Kecet. These hastahanas were definitely the embryo of an organized health services in Bosnia and Herzegovina, which have had enormous hystorical significance. Vakuf's hospital in Tuzla (Hastahana) founded by doctor Mehmed Serbic Sami, the first Muslim physician, graduated in Instanbul, Turkey at Lecole de Medicine in 1873. The first official hospital established during Austrian-Hungarian period was Regional (Landesspital) hospital opened in the July 1st 1894 and had 303 hospital beds in 4 departments: the first Internal department with diseases of the throat and nose (not the ear) with 45-50 beds, the Second - Surgical Department with ophtalmology (for ear surgery) with 45-50 beds, the Third - Dermatology and Venerology ward with 70-80 beds and the fourth - Gynaecology-obstetrics department with 70-80 beds. It will be a good basis for training future teachers pioneers of medicine, which will be opened in Sarajevo in November 22nd 1944 as a part of Medical Faculty in Zagreb. An generation of medical students attend the first year of study in Sarajevo. True, most students of this generation will be mobilized during the war, some will move on to medical faculties in other cities, and some other faculties in Sarajevo. The first Faculty of Medicine in Bosnia and Herzegovina officialy established in November 16th 1946. Conclusion: All institutions described in this article played important role in the history of healthcare education and healthcare protection in Bosnia and Herzegovina.