Background: Out-of-hospital cardiac arrest (OHCA) refers to the cessation of mechanical cardiac activity outside healthcare facilities which requires prompt intervention and intensive resuscitative efforts. The COVID-19 pandemic has caused significant disruptions to OHCA systems-of-care, adversely affecting every component of the chain of survival. Objective: The objective of this study was to examine the potential impacts of the COVID-19 pandemic on OHCA events, to draw comparisons between the period before and during the COVID-19 pandemic. Methods: This cross-sectional study encompassed data pertaining to all OHCA incidents attended to by the Emergency Medical Service of Canton Sarajevo, covering the period from January 2017 to December 2022, before and during the COVID-19 pandemic. Results: During observed period, a total of 1418 [796 (56.1%) before and 622 (43.9%) during COVID-19 pandemic] OHCA events have occurred in Canton Sarajevo of which 297 (20.9 %) [180 (12.7%) before and 117 (8.2%) during COVID-19 pandemic] obtained ROSC. After a 30-day period following the ROSC) it was observed that the predominant outcome, accounting for 181 (12.7%) [106 (7.4%) before and 75 (5.2%) during COVID-19 pandemic] of cases, was a complete recovery. An examination before and during COVID-19 pandemic revealed a decline in OHCA during the year 2021 and 2022 when COVID-19 pandemic was at its highest in the country Being younger, quicker EMT response time and individuals with the initial rhythm of VF or VT were significantly associated with obtaining ROSC (p<0.05). Only 48 (3.3%) of 1418 OHCA events were assisted by bystanders There was no report of AED usage. Conclusion: In conclusion, our investigation highlights the impact of the COVID-19 pandemic on OHCA events in Canton Sarajevo, revealing a decrease in OHCA incidence and a reduction in cases achieving ROSC. Notably, EMT response time was shorter during the pandemic.

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Background: Lymphadenopathy is a common finding in clinical practice. The cause of enlarged nodes on clinical examination alone is challenging and there may be multiple reasons for this enlargement. It may become enlarged due to stimulation by infectious agents or the involvement of metastasis or malignant diseases, such as lymphoma. Objective: The aim of the study was to investigate the diagnostic role of fine needle aspiration cytology of lymph nodes in metastatic cancer and lymphoma. Methods: A total of 48 FNAC lymph nodes suspicious for malignancy were sampled with follow-up biopsy in Clinical Center of University of Sarajevo from 2017 to 2023. Lymph nodes were aspirated using 20-22 G needle with minimally 2 passes, spread on slides, air-dried, stained with May-Grünwald-Giemsa or Papanikolaou and residual material sent for cytoblock. Results: Out of 48 cytological samples, 30 (62.5%) revealed metastatic epithelial cells and 12 (25%) lymphoproliferative neoplasm. Three samples were suspected for malignancies, one sample was unrepresentative, one inconclusive and one falsely negative. Histopathological confirmation had 35 patients, while others were confirmed based on clinical presentation and radiological techniques. Compared to histopathological diagnosis, cytology had a sensitivity of 89.47%, specificity of 93.33%, positive predictive value (PPV) 95.04% and negative predictive values (NPV) 86.13% for epithelial metastatic cancer. The overall diagnostic test accuracy was 91.06%. For lymphoproliferative neoplasms cytology in comparison to histopathology had sensitivity 85.71%, specificity 91.18%, PPV 76.4% and NPV 95.04%. The overall diagnostic test accuracy was 89.81%. In both ways cytology is showing significant possibility to be used as a primary tool in detecting cancers. Conclusion: FNAC is a fast, reliable, and efficient method for diagnosing malignant lymphadenopathy. The cytological diagnosis can sometimes be accepted as the definitive diagnosis without further correlation with histopathology, especially in advanced malignancies and known primary malignancies.

Background: Cervical cancer is a cancer that occurs in the cells of the cervix–the lower part of the uterus that connects it to the vagina and represents a global public health problem. In 2008, 530,000 new cases and 275,000 deaths from cervical cancer were recorded worldwide, and in 2018, an increase to 570,000 new cases and 311,000 deaths was recorded. For many years, it has been known that the main cause of preinvasive lesions and cervical cancer is the human papillomavirus–HPV. The total prevalence of HPV in the cervix in the general population of women is 10%. In developing countries, this prevalence is higher and describe most frequent clinical manifestations in the praxis. Objective: The aim of this study was to analyze and describe molecular genetic basis of cervical cancer and the most frequent clinical manifestations in the praxis. Methods: This is cross-sectional study based on meta-analysis of the facts published in scientific literature stored in indexed databases Medline, PubMed Central, Scopus, Hinari, etc., about molecular genetic basis of the cervical cancer with description of clinical manifestations and its consequences describing morbidity and mortality rate in the population worldwide. Results and Discussion:  In 2008, 530,000 new cases and 275,000 deaths from cervical cancer were recorded worldwide, and in 2018, an increase to 570,000 new cases and 311,000 deaths was recorded. The main cause of preinvasive lesions and cervical cancer is the human papillomavirus–HPV. HPV infection is most common in young, sexually active women under the age of 25, but cervical cancer is more common in older women. Oncogenic types of human papillomavirus 16 and 18 together with HPV 45 and 31 are the causative agents of 80% of cervical cancer cases. HPV 16 has the highest oncogenic potential. Epigenetic changes include DNA methylation and post-translational modifications of histones, such as: methylation, acetylation, phosphorylation, ubiquitination and sumoylation. Cervical intraepithelial (CIN / SIL) lesion is a premalignant change of the cervix that occurs due to chronic infection with high-risk types of HPV. Persistent infection with oncogenic types of HPV causes almost all cases of cancer. HPV DNA was detected in 99.7% of cancer samples. Conclusion: There are four main steps in the development of cervical cancer: infection of the metaplastic epithelium of the transformation zone, viral persistence, progression towards precancerous lesions and invasion of the basement membrane. Histologically, in about 80% of cases, squamous cell carcinomas arise from preexisting dysplasias. Adenocarcinoma accounts for about 15-20% of cancer cases. HPV 16 is the main cause of squamous cell carcinoma, unlike HPV 18 which is typically associated with adenocarcinoma.

Frequent sedentary behavior caused by the increased use of new technologies has contributed to the increase in overweight and obesity in children. These lifestyle changes include insufficient physical activity (PA) or an unfavorable relationship between food energy intake and energy expenditure. Parents and the family environment play a significant role in the development of obesity in their children. This study aimed to determine parents' attitudes about the FA of children of different nutritional levels (body mass index - BMI). A total of 149 respondents, parents of students in the first to fourth grades of urban and rural elementary schools, participated in the research. For the purposes of this research, the Fels Questionnaire (FELS PAQ) was used to assess the level of PA in children. The results indicate that there is no statistically significant difference in the intensity of attitudes about PA between parents of overfed and obese children and parents of normally fed children, as well as between mothers and eyes. A statistically significant association between actual and perceived PA levels was found in parents of over-nourished and obese children. Analysis of the difference in the intensity of attitudes about PA among parents of overfed and obese children from urban and rural areas revealed that there is no difference in the attitudes of parents from urban and rural areas

The aim of this research was to determine whether there is a relationship between body composition and motor abilities. A total of 50 participants, non-athletes, school-aged, from the school "Vožd Karađorđe" from Niš, male and female, average age 12.9 years, participated in this research. The research examined whether there is a relationship between parameters of the body composition and tests of explosive power, speed and agility. Tests were used to asses explosive power: countermovement jump (CMJ), countermovement jump with free arms (CMJA), squat jump (SJ) and five jump test (5JT). To asses speed we conducted tests 5m sprint (5m), 10m sprint (10m) and 20m sprint (20m). The following tests were used to assess agility: T-test, Zig Zag and Slalom. We used Pearson's correlation analysis to determine the relationship between body composition variables and motor abilities variables. As a result, it was proven that there are statistically significant correlation between body composition and motor abilities of school-age children.

Introduction: We are increasingly witnessing the self-initiated, uncontrolled stacking of incompatible anabolic substances in various cycles in the young Balkan Recreational Bodybuilding population group, increasingly frequent acts of violence in our country and the emergence of a neglected and very silent epidemic that is taking on an increasingly aggressive course of illness and psychological behavior. Black market anabolic steroids are associated with many generally health problems and uncontrolled aggression behavior by abusers. Young unsolicited recreate bodybuilding are also associated with generalized atherosclerosis and potential increased high risk for heart disease that can structural and functional damage the cardiovascular system during muscle mass steroid cycles. Besides high calorie intake, elevating serum blood lipid cholesterol levels LDL lowering HDL levels, elevating, systolic and diastolic blood pressure take a certain participation in cardiovascular risk and therefor need a development of certain cardiovascular protection strategies for this avoiding medical supervision anabolic steroids abuser group which are not yet appropriate established. The aim of the short study was to estimate Cardiovascular Protective Strategy Measures on lipid levels, and blood pressure status in a young recreational bodybuilder with different ethnic groups who Abuse Anabolic Steroids during controversial and different mass Cycles with and without taking Polyunsaturated Fatty Acids and Acetylsalicylic Acid (ASA) and Statins. Subjects and methods: This study was conducted from beginning of January, 2022 till end of July, 2022. 140 subjects are included age 17-30 (74 male Recreational Bodybuilder Who Abuse Anabolic Steroids on Simvastatin’s 10mg and Acetylsalicylic Acid 150mg doses of (ASA) and 10 grams of Polyunsaturated Fatty Acids during mass Steroid Cycles and 66 impellers group of male Recreational Bodybuilder Who Abuse Anabolic Steroids consisting without consume Statins and Acetylsalicylic Acid (ASA) during mass Steroid Cycles). For the testing of statistical significance of differences between the exanimated groups non-parameter and parameter tests were used. The difference at a level of p< (0,001) was statistically significant. Results: In all the tested subjects we investigated increasing lipid levels and blood pressure after six months of study. Analysis shows the statistically insignificant influence of antiplatelet therapy (150mg Acetylsalicylic acid) (ASA), combined with Simvastatin 10mg p<(0,001) in steroid abuse subjects during irrational muscle mass steroid cycles. Conclusion: Lack of familiarity with combinations of anabolic substances, as well as the danger of oral applications of very harmful steroids from the former Soviet Union and German Democratic Republic (GDR), this study showed. Avoidance of physician supervision by recreate bodybuilders by deceiving of the athletic subjectivity look, seams appears almost always in gym. This cardiovascular protective measures have poor benefit appeared to be usefully blind preventing strategy of controlling blood lipid levels during muscle mass steroid cycles, with no guaranty of worsen cardiovascular condition by abusing anabolic steroids. The influence of the reflection of the COVID 19 virus on such dramatic therapeutic results in this population group of two groups cannot be ruled out for sure.

Obesity is a chronic, complex, relapsing disease impacting healthcare systems and the economy worldwide. We aim to analyze the utilization trends of antiobesity drugs, and their reimbursement status on drug lists of health insurance funds (HIF) in selected European countries. The DDD/1000 inhabitants/day methodology is used for utilization trend analysis, where data from official national utilization reports were used. For the reimbursement status analysis of 5 antiobesity drugs (orlistat, semaglutide, liraglutide, naltrexone/bupropion, setmelanotide), the websites of national health insurance funds (HIF) of 22 European countries were screened. Trend analysis revealed fluctuation for almost all antiobesity drugs (the highest decrease seen for orlistat in Serbia, and the highest increase for liraglutide in Croatia). Novel antiobesity drugs show an increasing utilization trend in almost all the countries. In two out of three European countries, 437 antiobesity drugs are not covered by the HIF. Slovenia and Denmark reimburse most of the antiobesity drugs. The Netherlands is the only country where the cost of setmelanotide is paid by the HIF. Our results emphasize the importance of prioritizing the introduction and implementation of new strategies and reimbursement scheme models in global and national antiobesity policies.

The paper analyzes the effects of medicines policy on the functional separation of pharmacy and drugstore businesses from the early 19th century to the Second World War. Attempts to maintain personal and professional interests in the delivery of medicines prompted the long-standing dispute between pharmacists and druggists over the control and trade of drugs and poisons. The issue of state control generated complex processes that emphasized the professional role of pharmacists as providers of pharmaceutical services and druggists as wholesalers of medicines.

<p>Three new neutral complexes of copper(II) containing chalcone ligands derived from 2'-hydoxyacetophenone and 4-substituted benzaldehydes were synthesized. Complexes were prepared by solution synthesis and characterized by spectroscopy. The catalytic activity of complexes was examined in the reaction of 3,5-di-tertbutylcatehcol (DTBC) oxidation. The kinetics of DTBC catalytic oxidation by copper(II) complexes (1 &ndash; 3) was investigated spectrophotometrically under pseudo-first-order conditions. Catalytic parameters, the maximum reaction rate (vmax), Michaelis-Menten constant (KM), catalytic efficiency, catalytic reaction rate constant (kcat), turnover number (TON), and turnover frequencies (TOF) for complexes 1 &ndash; 3 in DTBC oxidation were collected. The studied complexes 1 and 2 were found to have moderate catalytic activity, while complex 3 does not show catalytic properties.</p>

In the dynamic realm of online gaming, sustaining player engagement and immersion within a virtual environment is paramount for both the player community and game developers. World of Warcraft (WoW), a prominent massively multiplayer online role-playing game (MMORPG), has experienced considerable evolution since its inception in 2004. As gaming technologies advance and player expectations shift, a variety of media platforms, such as forums, social networks, and streaming services, have surfaced, playing a pivotal role in augmenting the WoW gaming experience. This study delves into the impact of different versions of WoW on the players' content experience, focusing on how these media platforms influence player engagement, communication strategies, and problem-solving approaches. Employing qualitative research methods, particularly in-depth interviews, this paper weaves a comprehensive narrative that sheds light on the intersection of technological evolution and gaming experiences. Our findings indicate that the specific version of WoW plays a critical role in shaping player interactions and problem-solving methods. The Classic WoW iteration fosters a sense of community and interaction, necessitating collaboration and the use of external resources. In contrast, Modern WoW has streamlined gameplay mechanics, thereby reducing the emphasis on collaborative efforts and the role of community within the game. This research underscores the fluid nature of social dynamics within the game, evolving in response to the changing preferences and expectations of the player base.

The study measures and compares the levels of financial integration in Bosnia and Herzegovina and Slovenia between 2000 and 2020. This study aims to determine the impact of industrial index, gross domestic product per capita, trade openness, and corporate tax rate on the level of international financial integration. The statistical methods employed are unit root tests, OLS regression, the Breusch-Pagan test, and the heteroskedasticity test. For the 20-year time span and annual data for each parameter, the results have shown a significant positive correlation between gross domestic product per capita and financial integration for both countries. The results for Slovenia indicate that financial integration is negatively affected by trade openness and corporate tax rates, whereas gross domestic product per capita and industrial production index affect positively. In the case of Bosnia and Herzegovina, corporate tax rate and industrial production index affect financial integration negatively, while trade openness affect positively but insignificant with financial integration.

The aim of the research was to determine the total content of cadmium (Cd) and copper (Cu) in agricultural soils and to determine the potential toxicity of different intake routes for children and adults. Two locations were selected (Tomislavgrad and Mostar) where field crops were grown. Taking soil samples and determining the content of Cd and Cu was carried out according to the Instructions on determining the permitted amounts of harmful and dangerous substances in the soil and their testing methods (Official Gazette of FBiH, no. 96/22). A health risk assessment model based on the guidelines of the US Environmental Protection Agency (USEPA, 1996; USEPA, 2002; USEPA, 2011) was used to calculate the human health risk assessment. The measured values of the total content of copper and cadmium at the Tomislavgrad location are in accordance with the prescribed limit values. The copper content at the Mostar location was 205.90 mg/kg, which is above the limit value, and the cadmium content is in accordance with the prescribed limit values. When the HI value is less than 1, then there is no risk to human health, but if the values are greater than 1, then there is concern about non-carcinogenic risks (USEPA, 2004). The USEPA considers a carcinogenic risk in the range of 1×10–6 to 1×10−4 to be acceptable to human health. Calculations for non-carcinogenic and cancerous health risks were following the limit values.