Twiddler's syndrome is a rare complication after pacemaker implantation usually caused by patient manipulation with generator. We describe a case of 70-year-old female patient with pacemaker who was admitted to the neurological clinic with syncope and suspicion for neurological disease. After neurological diagnostic tests that were negative and consultation with a cardiologist, Twiddler's syndrome was diagnosed.

Ljudski kapital je od velikog značaja za svaku organizaciju koja želi u potpunosti ostvariti svoje ciljeve. Jedna od ključnih komponenti uspješnog upravljanja ljudskim resursima je procjena performansi. Glavni cilj procene performanse je pružanje podrške zaposlenima u smanjenju nedostataka u radu ili podsticanju na održavanje dobrog posla, istovremeno ujedno usklađivanje sa ciljevima organizacije. Percepcija zaposlenih o sistemu ocenjivanja performansi je od velikog značaja jer može uticati na njihove rezultate rada. Svrha ove studije je da analizira odnos između percepcija učinka zaposlenih i njihovog učinka, afektivne posvećenosti organizaciji i namere 18 | Senad Bušatlić, Azra Musić Kilic prometa. Podaci su prikupljeni od 154 zaposlena u malim i srednjim preduzećima u Bosni i Hercegovini, oblasti istraživanja koja je slabo istražena. Rezultati ukazuju na to da je odnos između percepcije zaposlenih o proceni učinka i performansi rada, kao i afektivnoj posvećenosti organizaciji, pozitivan sa visokim do umerenim stepenom korelacije, dok je odnos sa namerom prometa opisan kao negativan sa umerenom korelacijom. Ključne reči: Ocenjivanje performanse, radni učinak, afektivna organizaciona posvećenost, intencija prometa, upravljanje ljudskim resursima. JEL code: L15, L19

As many as 40–50% of all patients suffering from chronic kidney disease (CKD) die from reasons related to cardiovascular disease (CVD). The severity of the illness is directly connected to higher mortality caused by cardiovascular factors, with the cause of the CKD not as significant for the relationship. This risk of high cardiovascular mortality and morbidity is actually so high that it surpasses the risk of the patients reaching end-stage renal disease. Within the context of CKD, CVD has certain distinct characteristics. Left ventricular hypertrophy (LVH) is commonly used as a predictor of cardiovascular (CV) mortality. The striking cardiac interstitial fibrosis, a crucial part of uremic cardiomyopathy, and nonobstructive vascular diseases are highly prevalent CV pathology in CKD patients. Traditional risk factors appear to be of less importance in the CKD population compared to the general population but have been hypothesized as uremic toxins as a risk factor of cardiorenal syndrome. In this chapter, we discuss the importance of renal function in the pathophysiology of heart failure. We also elaborate on the novel under- standing of chronic kidney disease and its role in cardiovascular disease progression. (BNP) in its inactive fragment N-terminal proBNP (NT-proBNP) prognostic in patients and NT-proBNP useful overall in of and ventricular and can be used in guiding the of failure in that NT-proBNP role in stratification

Aim To analyse frequency of chronic obstructive pulmonary disease (COPD) exacerbation in patients on therapy with inhaled corticosteroids (ICS) and relevant factors that influence the rate of COPD exacerbations in a subgroup of moderate illness, like FEV1, comorbidities and other concomitant therapy. Methods The study included patients with moderate COPD with at least 10 pack-years history of smoking and accompanying cardiovascular comorbidity. Demographic data, frequency of exacerbations and information about proscribed treatments - ICS alone or in combination with long acting beta agonist (LABA), were collected from medical records for the previous 12 months from the index date. Results Data were collected for 210 patients (170 males) with the mean age 65.63±8.66 years, 72 of which were treated with a fixed combination of long acting beta blocker (LABA) and ICS. Significantly more frequent exacerbations were detected in patients using ICS p<0.0001) and having higher Modified British Medical Research Council (mMRC) score p=0.004). No statistically significant difference was registered related to ratio of FEV1 /FVC (p=0.121) or a number of cardiovascular comorbidities per patient (p=0.969). CONCLUSIONS Our results present a small contribution to the current scientific discussion about the use of ICS in COPD treatment. Further prospective studies are needed to confirm the impact of ICS on the frequency of COPD exacerbations.

Semantic fluency (SF) is a suitable indicator of preschool verbal abilities and can be used as a predictor of later school success. This research examined the effects of executive functions (EF) and theory of mind (TOM) on semantic fluency in preschool children. Dimensional Card Sorting test was used as an instrument of executive functions and the Sally-Anne test was used as a measure of theory of mind. The sample for this research comprised 116 preschool children, 60 boys, 56 girls, aged 38-72 months. The results of this research revealed a statistically significant effect of EF on SF (p=.03). The effect of TOM on SF was statistically non-significant, although approaching statistical significance (p=.06). There were no interaction effects of EF and TOM on SF. Findings of this research strongly suggest the need for EF training activities in preschool children. Preschool institutions of 21st century need to have curricula aimed at fostering EF skills.

New Regulations on energy efficiency in buildings in the Republic of Serbia legislate values for the temperature correction factor used to calculate the heat flux to the outdoor environment through construction elements of a certain type. The temperature correction factor is used to correct errors caused by calculation of heat losses based on the design outdoor and indoor temperature difference of building elements adjacent to unheated spaces which are in direct contact with the ground or external environment. Since the temperature correction factor directly influences the calculation of total heat losses and total annual energy demand, it is recommended that the temperature correction factor be determined on the basis of measured values of outdoor and indoor air temperature, or, on the basis of the values obtained by the simulation. This paper presents the results of measurements in the High School of Design, Textile and Management in Belgrade in order to assess energy efficiency and the energy performance of buildings. Data obtained on the basis of measurements, such as indoor and outdoor temperatures, are used for the calculation of the heat transfer coefficient for the building envelope elements as well as to calculate a temperature correction factor for the unheated attic space of the building. This paper also offers a dynamic simulation of the multi-zones building in the TRNSYS environment. The aim was to compare temperature correction factor values obtained from measured temperature values, with those calculated from standard, taken from the Regulation table and produced by simulation.

Sustainable development indicators mainly provide information that can link the observed energy system with sustainable development. This paper considers building energy indicators in order to provide monitoring and measurement of energy performance of buildings. The results of measurement which are considered were obtained in school buildings in Serbia. The aim of this paper is to select, define, and calculate energy indicators as criteria for evaluating the quality of public buildings, with regard to sustainable development. The criteria for assessing sustainability are quantified by certain defined sets of economic, social and environmental indicators. The ASPID method of multi-criteria analysis is also described and mathematically presented. This method is based on the synthesis technique of fuzzy sets and the sustainability of the school buildings was based on their assessment as complex energy systems.

Sustainable development indicators mainly provide information that can link the observed energy system with sustainable development. This paper considers building energy indicators in order to provide monitoring and measurement of energy performance of buildings. The results of measurement which are considered were obtained in school buildings in Serbia. The aim of this paper is to select, define, and calculate energy indicators as criteria for evaluating the quality of public buildings, with regard to sustainable development. The criteria for assessing sustainability are quantified by certain defined sets of economic, social and environmental indicators. The ASPID method of multi-criteria analysis is also described and mathematically presented. This method is based on the synthesis technique of fuzzy sets and the sustainability of the school buildings was based on their assessment as complex energy systems.