Introduction: The goal of this article is to present that innovating in health care begins to become an imperative in present time. Innovating will enable the achievement of the highest quality health care results and the patients' satisfaction with the least amount of financial resources.Methods: The thorough literature review of multifaceted sources was conducted including: studies, books, monographies and peer – reviewed journals with the goal of achieving the clearer picture of today's modern challenges in the complex fi eld of health care innovation.Discussion: Theoretical and empirical studies clearly indicate that the innovation is one of the key factors in the competitiveness of the organization and its survival in the market. Developed countries of the world today are making significant efforts in order for innovation to become a national priority, with special emphasis placed on measuring innovation performance. Results of theoretical and practical studies show that in the future, treatment of the most diffi cult and complex diseases of our time, through the entirely new discoveries and results, derived from the process of innovation, will project entirely new positive forms and outcomes in the health care.Conclusion: There is no doubt that the humanity and medical science will through innovation succeed to win the battles against the majority of the most complex contemporary diseases. Malignant neoplasm of tomorrow, through the application of a new, innovative approaches to research, processes and treatments will become a chronic diseases. Among many, the particular problem in the process of innovation will represent the cost of research and development (R&D), production and the safety of prescription drugs.

Introduction: The estrogen defi ciency after menopause leads to accelerated loss of bone mass. The aim of this study was to examine influence of physical activity on bone mineral density in postmenopausal women who hadn’t a deficit of estrogen in their menstrual history.Methods: This prospective study included 100 postmenopausal women, ages between 50 and 65, living in Sarajevo area without estrogen deficiency in menstrual history. The women in the examination group had osteoporosis. The women in the control group had osteopenia or normal mineral bone density. Mineral bone density was measured at the lumbar spine and proximal femur by Dual–Energy X–ray Absorptiometry using Hologic QDR-4000 scanner. To assess level of physical activity an International Physical Activity Questionnaire - Long Form was used.Results: In the examination group of women who had no history of menstrual estrogen deficit, level of physical activity was low in 52.00% female, and in 48.00% women level of physical activity was moderate. In the control group of women who had no history of menstrual estrogen defi cit in 10.00% female level of physical activity was low, and in 90.00% female level of physical activity was moderate. The difference in levels of physical activity between the two groups was statistically significant, X2 test = 20.6, p <0.005.Conclusion: Results of this study suggest that moderate physical activity has positive impact on bone mineral density in postmenopausal women without estrogen defi ciency in menstrual history and has the potential to reduce rapid bone loss after menopause.

As technology feature sizes shrink, aggressive voltage scaling is required to contain power density. However, this also increases the rate of transient upsets -- potentially preventing us from scaling down voltage and possibly even requiring voltage increases to maintain reliability. Duplication with checking and triple-modular redundancy are traditional approaches to combat transient errors, but spending 2-3x the energy for redundant computation can diminish or reverse the benefits of voltage scaling. As an alternative, we explore the opportunity to use checking computations that are cheaper than the base computation they are guarding. We identify and evaluate the effectiveness of lightweight checks in a broad set of common FPGA tasks in scientific computing and signal and image processing. We find that the lightweight checks cost less than 14% of the base computation. Using an exponential model for the relationship between voltage and transient upset rate, we are able to show over 80% net energy reduction by aggressive voltage scaling without compromising reliability compared to operation at the nominal voltage.

Introduction: This study was performed to establish a baseline value of micronucleus frequency in buccal cells and to estimate the impact of the most common factors (sex and age, and smoking) on micronucleus and degenerative nuclear alteration frequencies in the sample of healthy Bosnian subjects.Methods: The Buccal Micronucleus Cytome (BMCyt) assay, based on scoring not only micronucleus frequency but also other genome damage markers, dead or degenerated cells, provides a measure of cytotoxic and genotoxic effects.Results: Our results showed the baseline buccal micronucleus frequency was 0.135% or 1.35‰, as well as positive correlations between micronucleus frequencies and formations of degenerative nuclear alterations (nuclear buds, karyolytic and karyorrhectic cells). The number of micronuclei in buccal cells was significantly higher in females than in males. There was positive association between the age and frequency of analysed cytogenetic biomarkers. Buccal cell micronuclei and degenerative nuclear alternations were more frequent among cigarette smokers than non-smokers and significantly higher in female smokers than in male smokers. Cytogenetic damages showed significantly positive correlation between intensity of smoking and the number of nuclear alterations. The years of smoking had a significant influence not only on the number of nuclear alterations but also in micronuclei and nuclear buds in buccal cells.Conclusions: The sex influences the number of micronuclei in human buccal cells. The ageing increased the number of micronuclei and other biomarkers of DNA damage. The cigarette smoking significantly increases the frequencies of micronuclei and nuclear buds, pyknotic, karyolytic and karyorrhectic cells.

This article presents a survey of model-driven techniquesfor data model synthesis. During an extensive research,we identified more than 70 research papers in the field andmore than 15 different graphical notations used for the sourcemodel representation.We have classified the proposed approachesinto four distinct groups: function-oriented, process-oriented,communication-oriented and goal-oriented. Their contributionsare presented in chronological order and evaluated based onseveral main criteria. Although the idea of model-driven designof the data model is more than 25 years old, the survey showsthe richness and diversity of ideas, but only a small number ofimplemented automatic generators.

Introduction: The aim of the study was determining the type of weapon and shooting distance depending on chemical analysis of inorganic gunshot residue from the skin gunshot wounds in experimental animals (pigs).Methods: Experimental study was conducted in order to determine components and their percentage in gunshot residue (GSR). In 60 samples, pig skin was shot by fi ring projectiles from four different weapons and from three different distances (contact wound and near contact wound from 5 cm and 10 cm). The methodology included determining the presence of inorganic material: antimony, barium, lead, nickel, zinc and copper in the skin and subcutaneous tissue using atomic absorption spectrophotometry (AAS).Results: Formula for determining weapon type was provided cutt-off points for different weapons, with 78.6% of original grouped cases being correctly classifi ed. Formula for determining weapon type was provided cutt-off points for different distances, with 58.9% of original grouped cases being correctly classified, which was slightly less reliable compared to weapon type discrimination analysis.Conclusion: The presented study showed that chemical analysis of GSR in entrance wound with AAS could be useful in determining the type of weapon, as well as the shooting distance, i.e. in our study, determiningwhether the wound is contact or near contact. This could be particularly useful in postmortally putrefi ed or charred bodies with gunshot wounds.

Introduction: Air pollution occurs when the concentration of certain substances (pollutants) reaches a size which causes its toxicity, or in other words, begins to cause harm to human health, fl ora and wildlife.Methods: Measurements were performed in the period from 2005 to 2010, at the measuring point Bjelave-Sarajevo by the method of Griess-Saltzmann. It encompasses the following parameters: NO, NO2, NOx, measured concentrations of pollutants in the atmosphere reduced to normal atmospheric conditions of 293 K (Kelvin) and pressure of 101.3 kPa (kilopascal).Results: NO concentration in the period from 2005 to 2008 was above the permitted value, but the results of research in the period between 2009 and 2010, have shown that there was a decrease in NO concentration in the atmosphere. Measurements show that the concentration of this pollutant is currently declining, which is a positive result compared to the pollution of the atmosphere by nitrogen monoxide. Furthermore, the results of the research showed that the concentration of NO2 for the period of 2005 to 2010, is in the limited values, and that has a decreasing trend, which is also a positive result compared to the pollution of the atmosphere by nitrogen dioxide. Related to the total concentration of NOx in the atmosphere, the results of the research show that their representation corresponds to the limit values existing in the Rulebook on limit values for air quality.Conclusion: The results of the research for the pollution of the atmosphere by nitrogen oxides in the investigated area show that the amount of nitrogen oxides in the atmosphere is in constant decline.

The NPK nutrients uptake in the production of cauliflower (Brassica oleracea var. botrytis L.) irrigated with different water quality (fresh and saline water of 4 dS/m) has been analyzed in the experiment conducted in the greenhouse of Mediterranean Agronomic Institute of Bari. The highest nitrogen (N) consumption was observed 10 weeks after transplantation, while the highest consumption of phosphorus (P) and potassium (K) was recorded 12 and 8 weeks after transplantation, respectively. The highest concentration of N in vegetative part was obtained in cauliflower under saline water irrigation (3.5%), while in the fresh water treatment concentration of N was 3.2%. The phosphorus uptake was significantly affected under saline irrigation practice with respect to the fresh water being with total P uptake value corresponding to about 61% of the its uptake under the fresh water treatment. Irrigation with the salinity level of 4 dS/m resulted in significant increase in the accumulated salts in soil being with an electric conductivity (EC) value 17% greater than the one where fresh water was practiced. Evolution of chloride (Cl - ) and its average values during the whole cropping period indicate that Cl - behaved in a manner identical to the one characterizing the EC parameter. This proves that Cl - concentration in the soil can be taken as a measure

Tipicni proizvodi su jos iz predbiblijskog vremena smatrani kulturnim blagom naroda i država o cemu svjedoce nađeni zapisi na vise geografskih lokacija. Kao takvi su se stitili legalnim sredstvima adekvatnim vremenu i prostoru njihovog postojanja. Termin tipicnih proizvoda kao predmeta intelektualnog vlasnistva prvi put je uveden 1883. godine kada je potpisan prvi multilateralni sporazum-Pariska konvencija o zastiti geografskih oznaka. Od tada do danas potpisan je niz dokumenata kojim se regulise pravo raspolaganja i prometovanja tipicnim proizvodima. Sve aktuelne varijacije i podvarijacije nacina zastite geografskih oznaka mogu svrstati zemlje u tri grupe i to: (1) Zemlje koje stite geografske oznake posebnim zakonom tzv. sui generis sistemom, (2) Zemlje koje stite geografske oznake kao trgovacke marke, sertifikacijske marke, kolektivne marke, ili nekim drugim zakonskim sredstvom, (3) Zemlje koje formalno ne prepoznaju i ne stite geografske oznake.  Na globalnom nivou, 111 zemalja, ukljucujuci 27 zemalja EU, stiti oznake geografskog porijekla sui generis sistemom. 56 zemalja stiti geografske oznake putem trgovackih marki, sertifikacijskih marki, ili kolektivnih marki, gdje spadaju Australija, Kanada, Japan i SAD. Veliki broj zemalja pored sui generis sistema ima dodatnu opciju zastite geografskih oznaka kao trgovackih marki kao sto je slucaj Kine.

VEGF-A is the most potent angiogenic factor in tumour angiogenesis. Its effects are mediated via two receptors VEGFR-1 and VEGFR-2. Primary aim of our study was to examine the expression of VEGFR-1 in breast cancer and its correlation to VEGF expression, lymph node status, tumour size, histological grade, and hormone receptor status. To examine the VEGFR-1 and VEGF expressions in tumour and surrounding tissue of 51 breast cancer patients, and in healthy breast tissue of 30 benign breast diseases patients, we used three-step immunohistochemical staining. VEGFR-1 and VEGF expressions were significantly increased in breast cancer tumour in relation to surrounding tissue (P < 0.01), and the VEGF expression was significantly increased in lymph node positive breast cancer patients (P < 0.01). VEGFR-1 and VEGF expressions were significantly higher in breast cancer tumour compared with healthy breast tissue (P < 0.01). Significant correlation between VEGF and VEGFR-1 expressions was found (P < 0.05). No significant correlations between VEGF and VEGFR-1 expressions and tumour size, histological grade, and hormone receptor status were found. Increased expression of VEGFR-1 and VEGF in breast cancer tumour and significant correlation between these proteins suggest the possible role of VEGF/VEGFR-1 signalization in breast cancer development, although VEGFR-1 potential prognostic value was not confirmed.

We present a new approach to regularize the displacement field of the accelerated Demons registration algorithm. The accelerated Demons algorithm uses Gaussian smoothing to penalize oscillatory motion in the displacement fields during registration. This regularization approach is often applied and ensures a smooth deformation field. However, when registering images with discontinuities in their motion field such as from organs sliding along the chest wall, the assumption of a smooth deformation field is invalid. In this work, we propose using total variation based smoothing that is known to better retain the discontinuities in the deformation field. The proposed approach is a first step towards automatically recovering breathing induced organ motion with good accuracy.

Cervical spine arthritis is a well-recognized complication of juvenile idiopathic arthritis (JIA). It is usually present in patients with more severe disease.