Visual impairment can occur in different periods of life, and each person reacts differently in a way that corresponds to their personality, abilities, goals, as well as the life situation in which they find themselves. The aim of this research paper was to show, according to the available literature, the impact of individual educational-rehabilitation treatment on visual perception in students with visual impairment. The sample of respondents included a student, male, aged 9 years, diagnosed with nystagmus, amblyopia, and astigmatism. The student was included in an educational-rehabilitation program in order to improve his visual functioning. For the purpose of assessment and evaluation, the Beery-Buktenica Developmental Test of Visual-Motor Integration (VMI) fifth edition was used, which is intended for the assessment of visual-motor integration, visual perception, and motor coordination. An initial and final assessment was conducted with the student, and the Visual Perception subtest, consisting of 30 tasks, was used for the same. After the initial assessment, an individual educational-rehabilitation treatment was carried out for 2 months. The research data were processed by frequency analysis. On the basis of statistical processing and data analysis, the results showed an improvement in the area of visual perception, thereby confirming the need to implement an educational-rehabilitation program for a student with visual impairment.Keywords: visual perception,visual impairment, individual educational-rehabilitation program.

Abstract This work presents investigation of chemical composition and antioxidant activity of ethanolic extracts of leaves with flowers and berries prepared by ultrasound and Soxhlet extractions of Crataegus monogyna from Bosnia and Herzegovina. Total phenolic, flavonoid, and anthocyanin contents were measured by spectrophotometric methods. The sample of leaves with flowers extracted by Soxhlet extraction was the richest in the content of total phenolic compounds (14.43 mg GAE/g DW) and total flavonoids (2.22 mg QE/g DW). Same extract showed the best antioxidant activity with an IC50 value of 0.71 mg/mL for DPPH and 0.38 mg/mL for ABTS assay, as well as the highest content of gallic acid, caffeic acid, and hyperoside 0.04 mg GAE/g DW, 0.60 mg CA/g DW and 2.61 mg HYP/g DW, respectively, determined by HPLC-ED. Vitexin was not detected. The extract of berries obtained by ultrasound extraction had the highest amount of total anthocyanins (1.69 mg/100 g DW). Graphical Abstract

Background and Objectives. Distinct pressure curve differences exist between akinetic (A-LVA) and dyskinetic (D-LVA) aneurysms. In D-LVA, left ventricular (LV) ejection pressure decreases relative to the aneurysm size, whereas A-LVA does not impact pressure curves, indicating that the decrease in stroke volume (SV) and cardiac output is proportional to the size of dyskinesia. This study aimed to assess the frequency of A-LVA and D-LVA, determine aneurysm size parameters (volume and surface area), and evaluate predictive parameters using echocardiography in A-LVA and D-LVA. Furthermore, it aimed to compare individual echocardiographic parameters, according to ejection fraction (EF) and SV, with hemodynamic events shown in experimental models of A-LVA and D-LVA and their significance in everyday clinical practice. Materials and Methods. This clinical study included patients with post-infarction left ventricular aneurysm (LVA) admitted to the cardiovascular institute ‘’Dedinje”, Serbia. Echocardiographic volume and surface area of LV and LVA were determined (by the area–length method) along with EF (by Simpson’s method). Results. A-LVA was present in 62.9% of patients, while D-LVA was present in 37.1%. Patients with D-LVA had significantly higher systolic aneurysm volume (LVAVs) (94.07 ± 74.66 vs. 51.54 ± 53.09, p = 0.009), systolic aneurysm surface area (LVAAs) (23.22 ± 11.73 vs. 16.41 ± 8.58, p = 0.018), and end-systolic left ventricular surface areas (LVESA) (50.79 ± 13.33 vs. 42.76 ± 14.11, p = 0.045) compared to patients with A-LVA. The ratio of LVA volume to LV volume was higher in the D-LVA in systole (LVAVs/LVESV). The end-diastolic volume of LV (LVEDV) and end-systolic volume of LV (LVESV) did not significantly differ between D-LVA and A-LVA. EF (21.25 ± 11.92 vs. 28.18 ± 11.91, p = 0.044) was significantly lower among patients with D-LVA. Conclusions. Differentiating between A-LVA and D-LVA using echocardiography is crucial since D-LVA causes greater hemodynamic disturbances in LV function, and thus surgical resection of the aneurysm or LV reconstruction must have a positive effect regardless of myocardial revascularization surgery.

Introduction Chronic subdural hematoma (CSDH) is a prevalent condition commonly seen in elderly individuals, often requiring neurosurgical intervention. Research question This study investigates patient characteristics and recurrence rates in CSDH patients treated with single or double burr hole surgery in Bosnia and Herzegovina. Methods: A retrospective study was conducted on patients treated for CSDH between January 2018 and December 2022. The diagnosis of CSDH was confirmed through preoperative CT or MRI of the brain. Patients underwent either single or double burr hole surgery based on the neurosurgeon's decision. Preoperative and postoperative brain CT scans, along with clinical outcomes, were analyzed. Results A total of 87 patients were included in the study, with 102 burr hole surgeries performed. Among these, 49 patients received single burr hole surgery, while 53 patients underwent double burr hole surgery. Recurrence of CSDH occurred in 8.8% of cases, with no significant difference observed between the groups. Notably, single burr hole surgery demonstrated comparable efficacy to double burr hole surgery in terms of subdural reduction and occurrence of pneumocephalus, while exhibiting fewer complications and shorter hospitalization. Discussion and conclusions burr hole surgery, whether performed as a single or double procedure, is an effective treatment option for CSDH, as it leads to positive outcomes in both radiological and clinical assessments of patients following surgery. The population of Bosnia and Herzegovina receives good neurosurgical care for CSDH.

The modern period of neurosurgery in Bosnia and Herzegovina began with the first neurosurgical procedure performed by Dr. Karl Bayer in 1891 on 3 patients with depressed skull fractures and epilepsy. In 1956 the Department of Surgery in Sarajevo designated several beds specifically for a neurosurgical unit. A significant milestone in the history of neurosurgery in Bosnia and Herzegovina was the establishment of the Division of Neurosurgery at the Clinical Center University of Sarajevo in 1970. The first neurosurgeon to complete his training in Bosnia and Herzegovina was Dr. Faruk Konjhodžić. The first female neurosurgeon was Dr. Nermina Iblizović. Presently, there are 7 neurosurgical departments in the country, located in Sarajevo, Tuzla, Zenica, Mostar, Banja Luka, Bihać, and Foča. The Association of Neurosurgeons in Bosnia and Herzegovina, founded in 2003, is a member of the European Association of Neurosurgical Societies and the World Federation of Neurosurgical Societies. The aim of this historical paper is to provide a concise chronology of important events and mention key individuals who have contributed to the development of modern neurosurgery in Bosnia and Herzegovina.

Objectives: To compare carotid endarterectomy patch angioplasty (p-CEA) with eversion carotid endarterectomy (e-CEA) and associated risks of early cardio-cerebrovascular complications. Methods: The study was a prospective randomized single-blind trial, monocentric, clinically applicable, descriptive analytical and comparative. From June 2021 to June 2023, 62 consecutive patients with symptomatic and asymptomatic stenosis of the internal carotid artery, admitted to our department and randomized into two groups: carotid endarterectomy with patch angioplasty and eversion carotid endarterectomy. Follow-up for 30 days after surgery. Results: During surgery e-CEA, 70% patients had an arrhythmia, and 24 hours after 66.7%, seven days after 46.7% and month after 13.3%. During surgery p-CEA, 33.3% patients had an arrhythmia, 24 hours later 33.3%, 7 days after 13.3% and 30 days after 13.3% patients. Statistically significant difference observed during surgery (Fishers p=0.004). One day after the surgery rate of patients with arrhythmia that were treated e-CEA has decreased, but it was still higher than after p-CEA (Fishers p=0.010). Conclusion: The frequency and categorization of postoperative cardiac arrhythmias after eversion carotid endarterectomy, the clinical implications of various postoperative heart rhythm disturbances and their long-term effects on patients need to be further investigate through sufficiently powered randomized controlled studies

Abstract Background During the first epidemic wave, COVID-19 surveillance focused on quantifying the magnitude and the escalation of a growing global health crisis. The scientific community first assessed risk through basic indicators, such as the number of cases or rates of new cases and deaths, and later began using other direct impact indicators to conduct more detailed analyses. We aimed at synthesizing the scientific community’s contribution to assessing the direct impact of the COVID-19 pandemic on population health through indicators reported in research papers. Methods We conducted a rapid scoping review to identify and describe health indicators included in articles published between January 2020 and June 2021, using one strategy to search PubMed, EMBASE and WHO COVID-19 databases. Sixteen experts from European public health institutions screened papers and retrieved indicator characteristics. We also asked in an online survey how the health indicators were added to and used in policy documents in Europe. Results After reviewing 3891 records, we selected a final sample of 67 articles and 233 indicators. We identified 52 (22.3%) morbidity indicators from 33 articles, 105 severity indicators (45.1%, 27 articles) and 68 mortality indicators (29.2%, 51). Respondents from 22 countries completed 31 questionnaires, and the majority reported morbidity indicators (29, 93.5%), followed by mortality indicators (26, 83.9%). Conclusions The indicators collated here might be useful to assess the impact of future pandemics. Therefore, their measurement should be standardized to allow for comparisons between settings, countries and different populations.

Introduction. The development of the coronavirus disease 2019 (COVID-19) vaccine marked the beginning of the end of the pandemic and the understanding of the disease as something that is part of clinical practice. The aim of this study was to investigate, assess, and demonstrate the signifi cance of vaccination on the outcome of severely ill patients treated in intensive care units. Methods. A retrospective study was conducted on a sample of patients hospitalized at the Clinic for Infectious Diseases of the Clinical Center of the University of Sarajevo during 2022. Results. Participants who were vaccinated against COVID-19 had a lower mortality rate and a higher chance of survival compared to unvaccinated participants. Additionally, disease outcomes were signifi cantly infl uenced by oxygen saturation and platelet count at admission. Conclusion. COVID-19 vaccination signifi cantly reduced the mortality rate, with vaccinated par-ticipants having a higher chance of survival compared to unvaccinated participants.

Case summary A 1-year-old domestic shorthair queen with five neonates was referred for umbilical cord entwinement in three kittens 24 h after parturition. The owner noticed the kittens were stuck to each other 3 h before admission. Despite a conservative treatment approach, prolonged ischaemia led to dry gangrenous changes in one of the kitten’s metatarsi. Relevance and novel information This and other neonatal complications in cats are rarely reported. Primiparity is a known factor contributing to postpartum complications. Furthermore, inexperienced owners require more assistance in mitigating these challenges. Therefore, further research and collaboration among breeders, owners and veterinary professionals are imperative in order to accurately determine the prevalence of this condition in kittens and develop effective strategies to address it.

BACKGROUND The proliferation of sexting among adolescents around the world today has woven a complex tapestry of sexual expression and exploration. However, its implications extend beyond consensual engagement, occasionally manifesting as a form of cyberviolence. Varied prevalence rates further complicate our understanding of the extent of youth sexting worldwide. Therefore, this study aims to provide a tool to measure sexting in young people from different countries by validating the Sexting Behaviours and Motives Questionnaire (SBM-Q), a comprehensive instrument that captures the diversity of consensual and non-consensual sexting behaviors and motives in different countries. METHOD A total of 4739 students, aged 15 to 25, participated. They were from Spain (1563), Croatia (1598), and Bosnia and Herzegovina (1578). Confirmatory factor analyses and multigroup analyses were conducted. RESULTS The validity of the instrument was confirmed, endorsing its six-factor structure, which includes the dimensions of sending, reasons for sending, victimization by non-consensual forwarding, receiving, forwarding, and reasons for forwarding. Internal consistency across the three countries further underscores the robustness of the SBM-Q. CONCLUSIONS This validated questionnaire provides a reliable measure for understanding sexting behaviors and motives in different countries. Cultural nuances are discussed.

Thermal insulation materials play a vital role in minimising energy loss in building operation and also affect the amount of greenhouse gas emissions associated with heating and cooling. In this context, it is becoming an increasingly important milestone to find suitable thermal insulation materials that not only meet the technical requirements but also minimise their environmental impact. The trend towards the use of eco-friendly materials for thermal insulation reflects the construction industry’s desire to contribute to environmental protection and the transition to more sustainable models of building construction and renovation. For more than 20 years, a number of research teams have been investigating the possibility of replacing synthetically produced materials such as mineral wool and polystyrene foam with natural fibre-based insulation materials. These alternatives include wood as a traditional, easily renewable raw material. This, together with the low energy intensity of processing and manufacturing wood materials, contributes to its low carbon footprint. Compared to traditional synthetic insulation materials, which are often energy intensive to produce, wood is a more environmentally friendly choice. However, with many European countries now facing a potential shortage of higher quality wood, it is necessary to look for alternative sources of wood, including in the field of thermal insulation materials, materials with a lower carbon footprint that can be produced from lower quality wood or from wood waste that would otherwise only have an energy use. The paper is devoted to the study and use of suitable wood waste and secondary raw materials from spruce wood (coarse wood chips, sawdust and wood flour) for the development of modern thermal insulations with the aim of an environmentally friendly and less energy-intensive production process compared to conventional insulants.

Abstract Red mud, a voluminous industrial waste produced during the Bayer process in the alumina industry, has numerous application possibilities across various fields. Its potential uses are diverse, ranging from the construction industry and metallurgy to environmental protection and agriculture. There are three main aspects of red mud utilization. First, it can be analyzed from the point of view of resource utilization, where it could be applied as raw material mostly in the construction industry. Second, it could be a useful source of valuable components, such as rare earths and metals, especially iron. Third, red mud could have different environmental applications, in wastewater treatment, soil remediation, etc.The paper summarizes current data on red mud utilization methods and aims to emphasize the potential for red mud utilization in various fields.

The paper explores the evolving role of Artificial Intelligence (AI) in perinatal medicine and hu-man reproduction, highlighting its potential to transform clinical practices. AI technologies are being utilized to improve diagnostic accuracy, personalize treatment, and enhance patient care, particularly in areas like perinatal ultrasound, fetal heart rate monitoring, and fetal neurology. The Kurjak Antenatal Neurodevelopmental Test (KANET) exemplifies how AI can aid early detection of neurodevelopmental disorders. However, the integration of AI presents challenges such as data quality concerns, algorithmic bias, ethical concerns, and the need for robust regulatory frameworks. The authors argue that while AI offers significant opportunities, its implementation must be carefully managed to avoid over-reliance on technology and ensure equitable healthcare access. The paper concludes that the current state of AI in this field marks not an endpoint but a critical phase of growth and development, necessitating a balanced approach that combines innovation with ethical and practical considerations.

Accurate differentiation between Ventricular Tachycardia (VT) and Ventricular Fibrillation (VF) is essential in the field of cardiology. Recent advancements in deep learning have facilitated automated arrhythmia recognition, surpassing traditional electrocardiogram (ECG) methods that depend on manual feature extraction. Building on our previous work, which emphasized the importance of identifying patterns of regularity, we have developed a model that merges Graph Convolutional Networks (GCN) with Long Short-Term Memory (LSTM) networks. This GCN-LSTM model employs a trainable weighted ϵ-neighborhood graph to capture the similarity among time series within ECG segments. This approach has demonstrated substantial improvement in the classification of VT, VF, and non-ventricular rhythms.