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Bosnia and Herzegovina (BiH) possesses abundant resources that offer favorable opportunities for the development of health tourism. However, these resources are currently underutilized, with the majority of health tourism services being provided through thermal spa centers. Hence, the objective of this research was to analyze user satisfaction with six thermal spa centers located in Bosnia and Herzegovina. User ratings on the Booking.com platform were employed as a measure of satisfaction. These centers utilize Booking.com as a global promotion and booking tool, allowing users worldwide to access their services. To determine the highest-rated thermal spa centers, multi-criteria decision-making (MCDM) methods were applied. Specifically, the Entropy method was used to assign weights to different criteria, while the CRADIS (Compromise Ranking of Alternatives from Distance to Ideal Solution) method facilitated the ranking of terms based on their ratings. The analysis revealed that Terme Ozren and Terme Laktaši achieved the highest user satisfaction ratings. These findings emphasize the importance of continuous improvement of user satisfaction for all facilities offering tourist services, including thermal spa centers. User ratings on the Booking.com platform can serve as valuable guidance and feedback to enhance the quality of services.

Introduction. The Nursing Activities Score is used to quantify, assess, and identify the workload of nurses in intensive care units, and is widely considered a very effective, simple, standardized measurement scale, sufficiently detailed to be implemented in everyday hospital practice. The aim of the study is to evaluate the workload of nurses using the results of the Nursing Activities Score and compare the nurse-to-patient ratio with regulations in our country. Material and Methods. The study included 131 patients who underwent cardiac surgery in the period from November 1 to November 30, 2021. Surgical data and corresponding Nursing Activities Score values were obtained from hospital information system. In the intensive care unit, nursing activities were monitored and scored daily. Results. Using the Nursing Activities Score, 344 measurements were recorded in the study sample. The mean Nursing Activity Score was 88.27 ? 3.63, and the highest was 102.97 ? 1.89 on the first postoperative day. The nurse-to-patient ratio was 1.03:1 on the first postoperative day, and about 0.8:1 on the second and third postoperative days. There was a statistically significant difference in the mean Nursing Activities Score between postoperative days (p < 0.0005) between the first and second day (102.96 vs. 79.46) and the first and third day (103.46 vs. 83.58). Conclusion. On the first postoperative day, the optimal number of nurses according to the Nursing Activities Score is higher compared to the State Regulations, while for the rest of the days in the intensive care unit the nurse-to-patient ratio corresponds to the regulations.

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In Europe, wood is a crucial construction material that has experienced a surge in use for building applications in recent years. To enhance its dimensional stability and durability, thermal modification is a widely accepted commercial technology. Thermal modification is a popular technique that alters the properties of wood, improving its resistance to decay and increasing its dimensional stability. The process involves heating wood to high temperatures under controlled conditions, leading to chemical reactions that result in various physical and mechanical changes. This paper will discuss the effects of thermal modification on the physical properties of wood, such as density, moisture content, and color, as well as its impact on the mechanical properties, including strength, stiffness, and hardness. Additionally, the review will examine the factors that influence the degree of modification, such as temperature, duration, and wood species. Finally, the paper will conclude with an overview of the current state of research in this field and identify potential avenues for future investigation.

This study aimed to investigate the water absorption capacity of thermally modi fi ed and non-modi fi ed spruce and blue-stained spruce wood. The wettability of wood depends on various factors, including its type, density, porosity, and surface treatment. Wood can swell and become distorted when exposed to water or humidity, impacting its structural integrity. Hence, it is crucial to consider the water and water vapour uptake in the wood when choosing materials for applications that are likely to be exposed to moisture. Various moisture absorption tests were conducted to assess water absorption capacity, including short-term and long-term water absorption and water vapour absorption. The results showed a signi fi cant difference in the long-term exposure to water, which was related to the density of the wood. The study examined the in fl uence of thermal treatment on the physical properties of wood and observed signi fi cant variations in mass change due to coating, indicating differences in adhesion among different wood types. Vacuum-treated blue-stained Norway spruce demonstrated higher adhesion (5% – 15%) compared to air-treated samples. Furthermore, cohesion tests revealed lower cohesion force in blue-stained Norway spruce (approximately 20% – 30%) compared to Norway spruce. The study also used indus-try-standard tests to investigate the adhesion and cohesion of nano-coatings on wood surfaces. The results provided valuable information on the properties of coatings applied to wood, which is vital in protecting and decorating wood while also providing preventive protection against wood pests, weathering, and mechanical in fl uences. Wood modi fi cation in vacuum involves subjecting the wood to a low-pressure environment to remove air and moisture, allowing for deeper and more uniform penetration of treatment chemicals. In contrast, wood modi fi cation in air relies on the natural circulation of air to facilitate the absorption of chemical treatments, without the need for a vacuum chamber.

Background: The most common patohistological finding in primary hyperparathyroidism is adenoma of the parathyroid gland, followed by hyperplasia and the rarest is carcinoma. However, hyperplasia of the parathyroid glands (PTG) is most commonly found in secondary and tertiary hyperparathyroidism. Objective: The aim of this study was to determine the relationship between the localization of the parathyroid glands and pathological diagnosis, as well as the prevalence of individual pathological diagnosis after surgery in patients with hyperparathyroidism. Methods: Analysis of retrospective-prospective database of 79 patients who underwent parathyreoidectomy for hyperparathyroidism in the 7-year study period. Diagnostic methods were used to identify enlarged parathyroid glands as well as to determine their localization: ultrasound examination, scintigraphy and operative finding. Standard hematoxylin eosin staining was used for pathophysiological diagnosis. A correlation analysis between parathyroid gland localization and pathophysiological diagnosis was performed. Results: The median age of the patients were 51 age (range 20-73) and 67,1% of the patients were female. In the total number of surgically removed parathyroid glands (182), the most common pathophysiological diagnosis was hyperplasia. Parathyroid adenoma was found in 21 cases. Other diagnoses (thyroid nodule / tissue, lymph node, thymus, cancer) were found in 11 cases, while a normal finding was found in 12 glands. Pathophysiological diagnosis of hyperplasia and adenoma were more common in the lower parathyroid glands. Using the chi-square test, no association was found between pathophysiological diagnosis and localization of enlarged parathyroid glands. Conclusion: The most common pathophysiological diagnosis in hyperparathyroidism was hyperplasia and was most commonly found in the inferior parathyroid glands. Adenoma as pathophysiological diagnosis is also most commonly found in the lower parathyroid glands, but without statistical significance.

Background: The most common patohistological finding in primary hyperparathyroidism is adenoma of the parathyroid gland, followed by hyperplasia and the rarest is carcinoma. However, hyperplasia of the parathyroid glands (PTG) is most commonly found in secondary and tertiary hyperparathyroidism. Objective: The aim of this study was to determine the relationship between the localization of the parathyroid glands and pathological diagnosis, as well as the prevalence of individual pathological diagnosis after surgery in patients with hyperparathyroidism. Methods: Analysis of retrospective-prospective database of 79 patients who underwent parathyreoidectomy for hyperparathyroidism in the 7-year study period. Diagnostic methods were used to identify enlarged parathyroid glands as well as to determine their localization: ultrasound examination, scintigraphy and operative finding. Standard hematoxylin eosin staining was used for pathophysiological diagnosis. A correlation analysis between parathyroid gland localization and pathophysiological diagnosis was performed. Results: The median age of the patients were 51 age (range 20-73) and 67,1% of the patients were female. In the total number of surgically removed parathyroid glands (182), the most common pathophysiological diagnosis was hyperplasia. Parathyroid adenoma was found in 21 cases. Other diagnoses (thyroid nodule / tissue, lymph node, thymus, cancer) were found in 11 cases, while a normal finding was found in 12 glands. Pathophysiological diagnosis of hyperplasia and adenoma were more common in the lower parathyroid glands. Using the chi-square test, no association was found between pathophysiological diagnosis and localization of enlarged parathyroid glands. Conclusion: The most common pathophysiological diagnosis in hyperparathyroidism was hyperplasia and was most commonly found in the inferior parathyroid glands. Adenoma as pathophysiological diagnosis is also most commonly found in the lower parathyroid glands, but without statistical significance.