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Nedim Rabić

Apstrakt Hans Seybolt bio je samostanski pisar iz Donje Bavarske koji je živio u drugoj polovini 15. stoljeća. Kao izaslanik falačkog grofa boravio je 1476. godine na vjenčanju ugarskog kralja Matije Korvina i napuljske princeze Beatrix. O tom događaju je ostavio detaljan izvještaj koji je kao prijepis sačuvan u jedinom primjerku koji se nalazi u Državnoj biblioteci Bavarske pod signaturom Cgm 331. Seyboltov spis sadrži i kratke obavijesti o bosanskom kralju Nikoli Iločkom i njegovom sinu Lovri koje su predmet analize ovog rada.

A. Maslo, Lamija Ljuša

Apstrakt Stručna biblioteka Orijentalnog instituta Univerziteta u Sarajevu stradala je tokom rata u Bosni i Hercegovini 1992-1995. godine. Značajan doprinos u procesu obnove i popunjavanja fonda u poslijeratnom periodu imala je lična biblioteka Hamida Hadžibegića koja je 2001. godine kao poklon pristigla u Orijentalni institut. Biblioteka broji preko 1000 publikacija koje su pripadale ovom etabliranom naučniku i istraživaču bosanskohercegovačke prošlosti čija su bazna istraživanja imala snažan odjek u naučnom univerzumu istraživača osmanske historije. U ovom radu su prezentirane posvete kolega i prijatelja u Hadžibegićevim knjigama, separatima i časopisima kao kulturološki podsjetnici i dokumentarni zapisi koji svojom strukturom, tekstom, datacijom i potpisom predstavljaju izvor značajnih informacija o životu i radu ovog naučnika. Ključne riječi Hamid Hadžibegić, osmanistika, Orijentalni institut Univerziteta u Sarajevu, biblioteka, posvete

Martin Kondža, Ivica Brizić, S. Jokić

Flavonoids, a diverse group of polyphenolic compounds found abundantly in fruits, vegetables, and beverages like tea and wine, offer a plethora of health benefits. However, they have a potential interaction with drug metabolism, particularly through the inhibition of the cytochrome P450 3A4 enzyme, the most versatile and abundant enzyme in the liver. CYP3A4 is responsible for metabolizing approximately 50% of clinically prescribed drugs across diverse therapeutic classes, so these interactions have raised concerns about potential adverse effects. This review delves into the scientific evidence surrounding flavonoid-mediated CYP3A4 inhibition, exploring the inhibitory potential of investigated flavonoids and future implications. Kusehnol I, chrysin, leachianone A, and sophoraflavone G showed the largest inhibitory potentials and lowest IC50 values. While the clinical significance of flavonoid-mediated CYP3A4 inhibition in dietary contexts is generally considered low due to moderate intake and complex interactions, it poses a potential concern for individuals consuming high doses of flavonoid supplements or concurrently taking medications metabolized by CYP3A4. This can lead to increased drug exposure, potentially triggering adverse reactions or reduced efficacy.

Sanel Teljigovic, Tina Dalager, Nina Odgaard Nielsen, Lars Holm, Mette Bahn Ejvang, G. Sjøgaard, K. Søgaard, L. F. Sandal

Objective Older adults constitute a heterogeneous group, and the focus of the individual physical exercise is often subject to the reasoning and experience of health professionals or exercise physiologists who prescribe them. Thus, this is the first effort to explicitly conceptualise the planning of individualised physical exercise training (IPET) for older adults in an outpatient setting and investigate individual exercise preferences. Design The concept of IPET was developed by researchers, exercise physiologists and health professionals from a real-life outpatient setting using an iterative approach. Health indicators assessing aerobic capacity, strength, balance and musculoskeletal pain/discomfort sites form the basis of physical exercise recommendations. A cross-sectional study was conducted to assess the basis of implementing IPET. Setting Outpatient setting. Participants We included 115 older adults (70 females) from an outpatient setting with a median age of 74 years. Outcome measures Health indicators assessing aerobic capacity, strength, balance and musculoskeletal pain/discomfort sites were collected and informed the concept of IPET that structures exercise programmes based on the individual citizen’s needs and physical exercise preferences. Exceeding a health indicator cut-point results in exercise content mitigating the risk associated with the health indicator. Results We included 115 older adults (70 females) from an outpatient setting median age of 74 years. Approximately two-thirds of participants exceeded at least one health indicator cut-point for aerobic training. One-third of the participants exceeded the cut-point for upper extremity strength, and almost all participants >99% exceeded the cut-point for lower extremity strength. Approximately two-thirds of the participants exceeded the cut-point for functional/balance training. The most prevalent site of musculoskeletal pain was the lower extremities. Eight of 20 training combinations were used, clustering the 115 participants primarily in three main training combinations. Discussion This study shows that older adults vary in physical functioning, indicating that exercise preferences and rehabilitation needs are individual. Trial registration number NCT04862481.

1. 3. 2024.
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M. Özdemir, Tülay Özdemir, Nazlı Helvacı, A. Kural, S. Kuraş, Ö. Can, Fatih Hacımustafaoğlu, Berina Hasanefendić et al.

a significant increase in errors due to background noise in operating

S. Grgić, Sanja Jakovac, Marjana Jerković Raguž, Jelena Soldo, M. Vukojevič, Emina Deumić

Background: Bloodstream infections (BSI) encountered in hospitals are one of the most complex infections that pose a great challenge. Methicillin-sensitive and Methicillin-resistant Staphylococcus aureus are common causes of severe bloodstreaminfectionsthatareassociatedwithorganfailureandsepticshock.Hence,betterknowledgeoftheincidence ofBSIcausedbyMRSAandMSSAandadequateantibiotictreatmentareimportanttoreducelengthofhospitalstayand improve treatment outcomes.Subjectsandmethods:TheaimofthisstudywastoanalyzethefrequencyofBSIwithMSSAandMRSAinadultpatients whowerehospitalizedatthesametimeandsamedepartmentsoftheUniversityHospitalCentreMostarinthecourseof six years.Results: The incidence of BSI with MSSA and MRSA was shown to be 33,21% and 17,99%, respectively. Averageage of patients infected with MRSA was 61.5 years and with MSSA was 67.5 years. MSSA and MRSA BSI were more commoninmenwithaverageof69,79%and80,77%,respectively.Inbothgroupsofpatients,onethirdhadnoassociated diseases. Patients that had associated chronic disease with mild or moderately severe activity limitations constructed 41,67%withMSSAand46,15%withMRSA.Cardiovasculardiseasesweremostcommonchronicdiseaseinbothgroups, 33.33% for MSSA and 40.38% for MRSA.Treatment of the of subjects with MSSA BSI averaged 15 days and lasted significantlyshorterwhencomparedtoMRSABSItreatmentthataveraged36days.PatientswithMRSABSIweremore treated in middle and/or high-risk departments and with inadequate antibiotic therapy. MRSA BSI patients were more oftenmechanicallyventilated(69,23%),whichcontributestoahighercostoftreatment(averageof8032.5€intotal)and higher drug consumption when compared to the MSSA BSI patients. The death rate was higher in patients treated for MRSA BSI and averaged 67.31%.Conclusions:Theresultsofthisstudyarepromisingsincetheycanbeusedinpracticebycliniciansasaguidelinefor choosing adequate antibiotics, and improve course of treatment, length, outcome and cost.Keywords:Bloodstreaminfections,MSSA,MRSA,antimicrobialtreatment

B. Vujkovic, V. Brković, Ana Pajičić, V. Pavlović, D. Stanisavljević, D. Krajnović, Aleksandra Jovic Vranes

Background As digital health services are increasingly developing and becoming more interactive in Serbia, a comprehensive instrument for measuring eHealth literacy (EHL) is needed. Objective This study aimed to translate, culturally adapt, and investigate the psychometric properties of the Serbian version of the eHealth Literacy Questionnaire (eHLQ); to evaluate EHL in the population of primary health care (PHC) users in Serbia; and to explore factors associated with their EHL. Methods The validation study was conducted in 8 PHC centers in the territory of the Mačva district in Western Serbia. A stratified sampling method was used to obtain a representative sample. The Translation Integrity Procedure was followed to adapt the questionnaire to the Serbian language. The psychometric properties of the Serbian version of the eHLQ were analyzed through the examination of factorial structure, internal consistency, and test-retest reliability. Descriptive statistics were calculated to determine participant characteristics. Differences between groups were tested by the 2-tailed Students t test and ANOVA. Univariable and multivariable linear regression analyses were used to determine factors related to EHL. Results A total of 475 PHC users were enrolled. The mean age was 51.0 (SD 17.3; range 19-94) years, and most participants were female (328/475, 69.1%). Confirmatory factor analysis validated the 7-factor structure of the questionnaire. Values for incremental fit index (0.96) and comparative fit index (0.95) were above the cutoff of ≥0.95. The root mean square error of approximation value of 0.05 was below the suggested value of ≤0.06. Cronbach α of the entire scale was 0.95, indicating excellent scale reliability, with Cronbach α ranging from 0.81 to 0.90 for domains. The intraclass correlation coefficient ranged from 0.63 to 0.82, indicating moderate to good test-retest reliability. The highest EHL mean scores were obtained for the understanding of health concepts and language (mean 2.86, SD 0.32) and feel safe and in control (mean 2.89, SD 0.33) domains. Statistically significant differences (all P<.05) for all 7 eHLQ scores were observed for age, education, perceived material status, perceived health status, searching for health information on the internet, and occupation (except domain 4). In multivariable regression models, searching for health information on the internet and being aged younger than 65 years were associated with higher values of all domain scores except the domain feel safe and in control for variable age. Conclusions This study demonstrates that the Serbian version of the eHLQ can be a useful tool in the measurement of EHL and in the planning of digital health interventions at the population and individual level due to its strong psychometric properties in the Serbian context.

Sandra Martinovic, Margarita Bego, Iris Lobas Kukavicic, M. Obućina, Seid Hajdarević

This paper explores the possibility of using recycled seashells from marine coasts of the Mali Ston Bay in Dubrovnik-Neretva County, Croatia, to create a novel bio material derived from waste seashells. In this research, two types of waste seashells, mussel (Mytilus galloprovincialis) and oyster (Ostrea edulis), combined with natural, non-toxic binders (bone glue) were investigated experimentally. The goal is to develop a sustainable material, suitable for the production of furniture and decorative objects. The parameters studied, included physical and mechanical properties of this material. The results showed that this bio composite material, derived from recycled seashells, is hygroscopic and has low compression strength. It should be used for making furniture components that don't bear heavy loads and it is suitable only for interior applications. This study presents an eco-friendly and sustainable material option, while optimizing the recycling of food waste materials.

E. Playán, N. Čereković, Mihajlo Marković, Z. Vaško, M. Vekić, Alen Mujčinović, S. Čadro, Đurađ Hajder et al.

Bosnia and Herzegovina (BiH) accumulates challenges in the areas of research and innovation (R&I), agricultural water management (AWM) and their intersection. In the decade 2012–2022, the BiH gross domestic product per capita in current US$ increased by 6.2% annually. However, improvements are slowly arriving in R&I and AWM. In this period, relevant challenges to AWM have materialized, such as climate change effects or the need to implement an interconnected vision of ecosystem services. In the R&I arena, the societal demand for knowledge goods remains low, while the reforms of higher education and R&I funding systems have become urgent. This paper set out to elaborate a realistic and feasible policy roadmap to consolidate R&I in AWM in BiH. The methodology included an assessment of policies and sector performance, the analysis of stakeholder perceptions, the development of strategic directions and the design of a strategy. Desk research and stakeholder consultations (33 interviews, six workshops, 179 persons in total) were used to take stock of the current situation and expectations for the future. Stakeholders were divided into knowledge supply and knowledge demand, with five and six subcategories, respectively. Relations were established among the key enabling factors, the needs and the capacities of the involved stakeholders. The TOWS (Threats, Opportunities, Weaknesses and Strengths) matrix permitted to identify policy strategies. A Weaknesses – Opportunities, conservative or mini-maxi strategy was selected, owing to the relevance of system weaknesses (such as low investments, poor return of R&I to society or low R&I for AWM adaptation) and opportunities (such as the Green Agenda for the Western Balkans, Smart Specialization or regional partnerships). The policy roadmap was structured along three policy goals: strengthen R&I, strengthen AWM and identify / fund local R&I priorities for AWM. Policy goals included policy instruments promoting eco-efficient use of resources and sustainable development of rural areas.

Marijana Rogulj, Katarina Vukojević, Linda Lušić Kalcina

Background: The recognition of comorbidities is relevant for asthma management, especially if these conditions/diseases are treatable traits such as anxiety. This study aimed to explore the associations between asthma severity and child and parent asthma-related anxiety and to recognize the most common specific fears. Methods: This cross-sectional study consisted of 150 parents and their children diagnosed with asthma, and was conducted at the Pediatric Clinic of the University Hospital Center Split in Croatia. All children, from ages 3 to 17 years, underwent a thorough clinical examination. A total of 150 parents and 108 children filled out an asthma-related anxiety questionnaire in paper form. Results: Parents of children with moderate and severe asthma had higher asthma-related anxiety due to restrictions related to asthma symptoms (p = 0.032), and children diagnosed with moderate and severe asthma had greater anxiety due to restrictions related to asthma symptoms than children diagnosed with mild asthma (p = 0.004). Children’s anxiety was the highest when they experienced an asthmatic attack during physical activity (PA), and they fear that they will not be successful in sports or dancing due to asthma. Parents commonly reported the fear of an asthma attack without warning signs (p < 0.001), fear of drug side effects (p < 0.001), fear of absence from school (p = 0.006), and fear of an asthma attack during PA (p < 0.001). Conclusions: The current study reports findings of increased parental levels of anxiety when compared to their children, related to fear of an asthma attack occurring without warning signs, fear of side effects and fear of absence from school, as well as the fear of an asthma attack occurring during sports activities. When assessing individual items on anxiety associated with asthma, children most commonly reported concern related to physical activity.

Biljana Lakić, R. Škrbić, Snežana Uletilović, Nebojša Mandić-Kovačević, Milkica Grabež, Mirna Popović Šarić, M. Stojiljković, Ivan Soldatović et al.

Background. Oxidative stress and inflammation are closely related pathophysiological processes, both occurring in type 2 diabetes mellitus (T2DM). In addition to the standard treatment of T2DM, a potential strategy has been focused on the use of bile acids (BAs) as an additional treatment. Ursodeoxycholic acid (UDCA), as the first BA used in humans, improves glucose and lipid metabolism and attenuates oxidative stress. The aim of this study was to evaluate the potential metabolic, anti-inflammatory, and antioxidative effects of UDCA in patients with T2DM. Methods. This prospective, double-blind, placebo-controlled clinical study included 60 patients with T2DM, randomly allocated to receive UDCA or placebo. Subjects were treated with 500 mg tablets of UDCA or placebo administered three times per day (total dose of 1500 mg/day) for eight weeks. Two study visits, at the beginning (F0) and at the end (F1) of the study, included the interview, anthropometric and clinical measurements, and biochemical analyses. Results. UDCA treatment showed a significant reduction in body mass index (p=0.024) and in diastolic blood pressure (p=0.033), compared to placebo. In addition, there was a statistically significant difference in waist circumference in the UDCA group before and after treatment (p<0.05). Although no statistical significance was observed at the two-month follow-up assessment, an average decrease in glucose levels in the UDCA group was observed. After two months of the intervention period, a significant decrease in the activity of liver enzymes was noticed. Furthermore, a significant reduction in prooxidative parameters (TBARS, NO2-, H2O2) and significant elevation in antioxidative parameters such as SOD and GSH were found (p<0.001). Conclusions. The eight-week UDCA administration showed beneficial effects on metabolic and oxidative stress parameters in patients with T2DM. Thus, UDCA could attenuate the progression and complications of diabetes and should be considered as an adjuvant to other diabetes treatment modalities. This trial is registered with NCT05416580.

A. Arnautovic, W. Garabet, Reinhold Thomas Ziegler, J. Mulorz, Sönke Maximilian Braß, A. Oberhuber, H. Schelzig, M. Wagenhäuser et al.

Background: For (thoracic) endovascular aortic repair ((T)EVAR) procedures, both mobile (standard operating room (SOR)) and fixed C-arm (hybrid operating room (HOR)) systems are available. This study evaluated differences in key procedural parameters, and procedural success for (T)EVAR in the SOR versus the HOR. Methods: All patients who underwent standard elective (T)EVAR at the Clinic for Vascular and Endovascular Surgery at the University Hospital Duesseldorf, Germany, between 1 January 2012 and 1 January 2019 were included. Data were retrieved from archived medical records. Endpoints were analyzed for SOR versus HOR during (T)EVAR. Results: A total of 93 patients, including 50 EVAR (SOR (n = 20); HOR (n = 30)) and 43 TEVAR (SOR (n = 22); HOR (n= 21)) were included. The dose area product (DAP) for EVAR and TEVAR was lower in the SOR than in the HOR (EVAR, SOR: 1635 ± 1088 cGy·cm2; EVAR, HOR: 7819 ± 8928 cGy·cm2; TEVAR, SOR: 8963 ± 34,458 cGy·cm2; TEVAR, HOR: 14,591 ± 11,584 cGy·cm2 (p < 0.05)). Procedural fluoroscopy time was shorter in the SOR than in the HOR for EVAR and TEVAR (EVAR, SOR: 7 ± 4 min; EVAR, HOR: 18.8 ± 11.3 min; TEVAR, SOR: 6.6 ± 9.6 min; TEVAR, HOR: 13.9 ± 11.8 min (p < 0.05)). Higher volumes of contrast agent were applied during EVAR and TEVAR in the SOR than in the HOR (EVAR, SOR: 57.5 ± 20 mL; EVAR: HOR: 33.3 ± 5 mL (p < 0.05); TEVAR; SOR: 71.5 ± 53.4 mL, TEVAR, HOR: 48.2 ± 27.5 mL (p ≥ 0.05). Conclusion: The use of a fixed C-arm angiography system in the HOR results in higher radiation exposure and longer fluoroscopy times but lower contrast agent volumes when compared with mobile C-arm systems in the SOR. Because stochastic radiation sequelae are more likely to be tolerated in an older patient population and, in addition, there is a higher incidence of CKD in this patient population, allocation of patients to the HOR for standard (T)EVAR seems particularly advisable based on our results.

Azer Rizikalo, Mirko Maglica, Nela Kelam, Ilija Perutina, Marin Ogorevc, Anita Racetin, Natalija Filipović, Yu Katsuyama et al.

The purpose of this study was to evaluate the effects of Dab1 gene silencing on the immunoexpression of light chain 3 beta (Lc3b), glucose regulating protein 78 (Grp78), heat shock cognate 71 (Hsc70), mammalian target of rapamycin (mTOR) and lysosomal-associated membrane protein 2A (Lamp2a) in the lung tissue of developing yotari (Dab1−/−) and wild-type (wt) mice. The lung epithelium and mesenchyme of the embryos at gestational days E13.5 and E15.5 were examined using immunofluorescence and semi-quantitative methods. In the pulmonary mesenchyme and epithelium, Grp78 and Lc3b of moderate fluorescence reactivity was demonstrated in wt mice for both evaluated time points, while yotari mice exhibited only epithelial reactivity for the same markers. Mild punctate expression of Hsc70 was observed for both genotypes. A significant difference was present when analyzing mTOR expression, where wt mice showed strong perinuclear staining in the epithelium. According to our data, Dab1 gene silencing may result in autophagy abnormalities, which could then cause respiratory system pathologies via defective lung cell degradation by lysosome-dependent cell elimination.

Milica Zrnic Ciric, Jelena Kotur-Stevuljević, B. Djordjevic, V. Todorović, I. Baralic, M. Ostojić, Ivan Stanković

The progression of telecommunications, starting from the inception of 1G networks in 1979 to the advent of 5G technology in 2019, represents a significant journey of advancement for humanity. As we approach the era of 5G, characterized by heightened machine-to-machine connectivity and transformative applications in AI, IoT, and cloud computing, it becomes imperative to acknowledge and address concerns regarding its potential impacts on health and the environment. Utilizing machine learning algorithms, particularly implemented in Python for this research, provides a potent approach to analyzing intricate datasets concerning 5G signals and their potential correlations with healthcare outcomes. After carefully cleaning and preparing the data and conducting linear regression analysis, uncovered evidence backing the notion that 5G antennas emit greater levels of radiation compared to 4G antennas emerged - a fact often concealed by corporations. Despite relying on a restricted dataset, the results emphasize the necessity for more accurate data to improve model precision. Ongoing research endeavors are vital to alleviate public anxieties regarding 5G technology, thereby fostering trust and bolstering awareness on a wider front.

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