ABSTRACT The effect of environmental transformations on organizational identity in universities has been addressed from different perspectives, yet considering micro-dynamics and impact on actual practices of academic work has been neglected. This article addresses this gap by analyzing how institutional field prescriptions relative to an environmental transformation have been internalized into organizational members’ practices and what effect it has on the collective understanding of organizational identity. Our analytical context is represented by two schools at the biggest Dutch higher education organization. While most studies emphasize contestation and fragmentation with multiple interpretations of organizational identity within the same higher education organization during or as a consequence of environmental transformations, the analyzed case presents contrary results. Organizational members were consistent in describing their own organizational practices across schools. The stable and shared identity is strengthened via anti-identity through two distinct mechanisms: the process of socialization and contrasting to academia. Additionally, we show how through a third mechanism (association to the professional field) organizational members draw on the institutional field prescriptions to legitimize their teaching and research practices. Thus, this paper demonstrates that organizational identity can be stable and non-fragmented even when higher education organizations face and implement changes.

Background Delayed treatment of Achilles tendon ruptures is generally due to either misdiagnosis or patient delay. When the treatment is delayed more than 4 weeks, the rupture is defined as “chronic”, and almost always requires more invasive surgery and longer rehabilitation time compared with acute Achilles tendon ruptures. There is insufficient knowledge of patient experiences of sustaining and recovering from a chronic Achilles tendon rupture. Methods To evaluate patients’ experiences of suffering a chronic Achilles tendon rupture, semi-structured group interviews were conducted 4–6 years after surgical treatment using a semi-structured interview guide. The data were analyzed using qualitative content analysis described by Graneheim and Lundman. Results The experiences of ten patients (65 ± 14 years, 7 males and 3 females) were summarized into four main categories: (1) “The injury”, where the patients described immediate functional impairments, following either traumatic or non-traumatic injury mechanisms that were misinterpreted by themselves or the health-care system; (2) “The diagnosis”, where the patients expressed relief in receiving the diagnosis, but also disappointment and/or frustration related to the prior misdiagnosis and delay; (3) “The treatment”, where the patients expressed high expectations, consistent satisfaction with the surgical treatment, and addressed the importance of the physical therapist having the right expertise; and (4) “The outcomes”, where the patients expressed an overall satisfaction with the long-term outcome and no obvious limitations in physical activity, although some fear of re-injury emerged. Conclusions An Achilles tendon rupture can occur during both major and minor trauma and be misinterpreted by both the assessing health-care professional as well as the patient themselves. Surgical treatment and postoperative rehabilitation for chronic Achilles tendon rupture results in overall patient satisfaction in terms of the long-term outcomes. We emphasize the need for increased awareness of the occurrence of Achilles tendon rupture in patients with an atypical patient history.

In this research, the results of bentonite characterization (pH value of bentonite suspension, point of zero charge, cation exchange capacity,  SEM, XRF, DTG) are presented. The results of lead (II) removal efficiency at initial lead (II) concentrations of 200, 300 and 400 mg/L, and biosorbent dosage of 1 gram in 50 ml of lead(II) solution,  are also presented, as well as the values of the Freundlich and Langmuir constants from the Freundlich and Langmuir adsorption isotherms. The obtained results showed that removal efficiency is high for all three examined initial lead (II) concentrations, and it is above 99%. The lead (II) removal efficiency slightly decreases with an increase in initial lead concentration. Experimental data obtained from adsorption experiment with contact time of 2.5 minutes, stirring rate 100 rpm, temperature 250C and pH value 5 are better fitted with the linearized Langmuir equation isotherm, giving an R2 value closest to unity (0.9994), than to linearized Freundlich equation (0.9886).

The SARS-CoV-2 pandemic has been the main public health issue since the end of 2019. The vaccination campaign in Bosnia and Herzegovina started in April 2021, with several vaccines available. Our study aimed to evaluate the acceptance, effects, and tolerability of vaccines against SARS-CoV-2 among cancer patients. We conducted a cross-sectional, observational study between 22 October and 30 November 2021, at the Clinic of Oncology, Clinical Center University of Sarajevo. Patients were enrolled during their regular visit to the Clinic of Oncology by agreeing to complete an individual paper questionnaire. The study included 1063 patients with malignant diseases, of whom 681 (64.1%) were adequately vaccinated patients. In the study population, 76.9% of patients reported that they did not experience any side effects due to vaccination, while only 0.5% had side effects, causing a delay in their treatment. Among adequately vaccinated patients, there were 40 patients (3.8%) who were infected with SARS-CoV-2 after the second or booster dose of the vaccine. Five patients (0.5%) were hospitalized due to COVID-19 after being adequately vaccinated. The findings of our study suggest that cancer patients have a higher acceptance of vaccines against SARS-CoV-2 than the general population in Bosnia and Herzegovina. Vaccination side effects are tolerable and do not cause major delays in specific cancer treatment. The protective effects of COVID-19 vaccines in the cancer patients presented in our study are comparable to available results of similar studies, which included the general population.

Sequencing of cell-free DNA (cfDNA) in cancer patients' plasma offers a minimally-invasive solution to detect tumor cell genomic alterations to aid real-time clinical decision-making. The reliability of copy number detection decreases at lower cfDNA tumor fractions, limiting utility at earlier stages of the disease. To test a novel strategy for detection of allelic imbalance, we developed a prostate cancer bespoke assay, PCF_SELECT, that includes an innovative sequencing panel covering ∼25 000 high minor allele frequency SNPs and tailored analytical solutions to enable allele-informed evaluation. First, we assessed it on plasma samples from 50 advanced prostate cancer patients. We then confirmed improved detection of genomic alterations in samples with <10% tumor fractions when compared against an independent assay. Finally, we applied PCF_SELECT to serial plasma samples intensively collected from three patients previously characterized as harboring alterations involving DNA repair genes and consequently offered PARP inhibition. We identified more extensive pan-genome allelic imbalance than previously recognized in prostate cancer. We confirmed high sensitivity detection of BRCA2 allelic imbalance with decreasing tumor fractions resultant from treatment and identified complex ATM genomic states that may be incongruent with protein losses. Overall, we present a framework for sensitive detection of allele-specific copy number changes in cfDNA.

Traffic safety is one of the key issues nowadays, given the fact that a large number of people lose their lives in traffic accidents every day. There are various influential factors in the occurrence of traffic accidents, the number of vehicles being one of them. This paper assesses the traffic safety in Montenegro in the period 1998-2020 by applying the multiphase modeling with a purpose to obtain comparative results which enable implementation of adequate strategies. A total of six scenarios were formed with two inputs and two outputs in a DEA (Data Envelopment Analysis) model, with the number of registered vehicles per year being an input in all scenarios. In addition, as inputs, the scenarios included AADT (Annual Average Daily Traffic), passengers in road transport, passenger-km by road transport, goods transported by road, tone-km by road, and passengers in local transport. The number of traffic accidents with casualties, the number of traffic accidents with material damage, the number of fatal cases and the number of injured persons, depending on a scenario, were observed as outputs. After the DEA model, IMF SWARA (Improved Fuzzy Stepwise Weight Assessment Ratio Analysis) was applied to determine the weights of inputs and outputs, while the final state of traffic safety by years was determined using the MARCOS (Measurement of alternatives and ranking according to COmpromise solution) method.

We address ionization of a diatomic molecule by a bichromatic elliptically polarized field with co-rotating components. Using the strong-field approximation we investigate symmetry properties of the photoelectron momentum distribution and explore the minima which appear in the photoelectron spectra. We distinguish two types of minima: (i) two-center interference minima which appear due to the destructive interference of the contributions of two electron wave packets emitted from the two centers of the diatomic molecule and (ii) the one-center minima which are caused by the interference of the parts of the wave packet emitted from the same atomic center at different times. The position of the two-center interference minima depends on the molecular orientation. When a molecular orbital is modelled using the atomic orbitals of a specific parity, the position of the two-center interference minima does not depend on the ellipticity of our driving field. However, when a molecular orbital consists of both odd and even atomic orbitals the interference of their contributions and the position of the minima depend on the ellipticity. The position of the interference minima in the photoelectron momentum plane is confirmed using the saddle-point method. The position and the number of the one-center minima do not depend on the molecular orientation, but they strongly depend on the ellipticity of the field components. Finally, comparing the photoelectron spectra of the CO molecule with the spectra of homonuclear molecules and the NO molecule we show that the electron probability density distribution plays a significant role for the high-energy rescattered electrons.

Background Maintenance therapy of patients with primary psychosis spectrum disorders (PSD) in the Western Balkans has received limited interest so far. The present study aimed to investigate long-term prescription patterns among outpatients with PSD. Methods Information about prescription of antipsychotics (AP), benzodiazepines (BZD) and other psychotropic medication over a 6-month period was collected from outpatients (n = 134; ICD-10 diagnosis F20-29) recruited by a larger multi-site study, to find mean daily number of psychotropic drugs, AP prescription patterns (including AP daily dose, route of administration, monotherapy vs. polypharmacy) and BZD utilization (long-term add-on BZD therapy). Additionally, sex-differences in the variables were explored. Results Clinically stable outpatients (age 41.7 ± 11.0; male 62.7%; duration of untreated illness 12.7 ± 8.7 years; mean number of lifetime hospitalizations 2.6 ± 0.7) were prescribed 2.8 ± 1.1 psychotropic medications daily. The mean 6-month AP dose was 14.2 ± 7.8 mg olanzapine equivalents. Long-acting injectable AP was prescribed to 25.2% of the patients. Long-term AP monotherapy was found in 52.7% patients and most of them were prescribed second generation AP (65.2%). Long-term AP polypharmacy (42.7%) was more common in males (p = 0.015). The most frequent co-prescription patterns were first generation AP plus clozapine. The highest rate of long-term AP co-prescription was found for BZD (in 42.7% cases, average 6-months daily dose of 2.8 ± 2.7 mg lorazepam equivalents) and anticholinergics (33.6%). Conclusion Existing appropriately designed interventions aiming to safely switch the inappropriate therapeutic regimens, i.e. very high prevalence of long-term AP polypharmacy and non-rational BZD co-prescription, should be implemented in the region of Western Balkans.

This work introduces a new perspective for physical media sharing in multiuser communication by jointly considering (i) the meaning of the transmitted message and (ii) its function at the end user. Specifically, we have defined a scenario where multiple users (sensors) are continuously transmitting their own states concerning a predetermined event. On the receiver side there is an alarm monitoring system, whose function is to decide whether such a predetermined event has happened in a certain time period and, if yes, in which user. The media access control protocol proposed constitutes an alternative approach to the conventional physical layer methods, because the receiver does not decode the received waveform directly; rather, the relative position of the absence or presence of energy within a multidimensional resource space carries the (semantic) information. The protocol introduced here provides high efficiency in multiuser networks that operate with event-triggered sampling by enabling a constructive reconstruction of transmission collisions. We have demonstrated that the proposed method leads to a better event transmission efficiency than conventional methods like TDMA and slotted ALOHA. Remarkably, the proposed method achieves 100\% efficiency and 0\% error probability in almost all the studied cases, while consistently outperforming TDMA and slotted ALOHA.

Introduction: Newborn screening (NBS) is a system of organized search in the entire neonatal population for specific diseases. In Bosnia and Herzegovina, two diseases are included in NBS, congenital hypothyroidism (CH), and phenylketonuria. The screening for CH is based on determination of thyroid stimulating hormone (TSH) levels in blood obtained by heel prick method. The aim of this study is to evaluate the effectiveness of NBS program for CH based on TSH and establish the mean age of diagnosis of CH.Methods: TSH was measured by time-resolved fluoroimmunoassay (DELFIA Neonatal hTSH kit). The TSH cutoff value was 9 μU/mL. Neonates with TSH < 9 μU/mL had a negative NBS result. Neonates with TSH ≥ 9 μU/mL were recalled for a confirmation test and thyroid hormones were determined from venous blood to establish diagnosis of CH.Results: A total of 24,351 neonates were subjected to NBS in our institution. A total of 164 newborns with TSH ≥ 9 μU/ml were sent to additional testing (mean recall rate of 0.68%) at a mean age of 11.4 ± 0.5 days of life. In this group, diagnosis of CH was confirmed in 22 neonates (13.41%). The mean rate of false positive results of NBS was 0.59%. The incidence of CH in Sarajevo Canton ranged from 1/2477 in 2018 to 1/641 in 2020. The mean incidence of CH over a 5-year period was 1/1085, while the mean age at the time of diagnosis was 16.5 ± 1.2 days.Conclusion: The analysis of NBS on congenital hypothyroidism data showed the satisfactory recall and false positive rate and indicated well selected TSH cutoff value. The mean age at the time of diagnosis assures early treatment and good neurological outcome in neonates with CH.

PurposeThis paper presents a citation-based systematic literature review in the field of sustainability management for Arab countries. The aim is to assist potential researchers in this field to identify existing themes, gaps and other relevant information necessary for the further development of the research area.Design/methodology/approachA comprehensive list of keywords has been searched in the SCOPUS database to identify all the relevant articles in the field of sustainability management in Arab countries. After applying the relevant restriction criteria, manual screening of titles, abstracts and keywords was performed to identify the final sample. The final sample consists of 410 articles published in 218 different journals by 907 authors. Bibliometrix R-tool was used to conduct a comprehensive bibliometric analysis of the selected articles.FindingsFindings indicate a growing trend of publications on sustainability management in the generally understudied Middle East and North Africa (MENA) region. Besides publication trends, citation analysis presents citation trends, most influential journals and authors, and most cited articles on sustainability management in Arab countries. Theme identification is shown through analyses of conceptual and intellectual structures. Finally, social networks in the field are discussed.Practical implicationsInformation presented in this paper informs interested researchers about the current state in the field, relevant sources of knowledge, important literature on the topic, relevant authors and other valuable particulars. This systematic literature review helps researchers make further valuable contributions to the field of sustainability management in Arab countries.Originality/valueTo the best of the authors' knowledge, this paper offers a first comprehensive citation-based systematic literature review on sustainability management in Arab countries.

This study aims to contribute to the burgeoning field of brain‐inspired computing by expanding it beyond conventional fabrication methods. Herein, the obstacles toward the effective inkjet printing process are encountered and the electrical characteristics are explored, providing new insights into the reliability aspects of fully printed Ag/a‐TiO2/Ag electronic synapses. The versatility of the approach is further enhanced by the highly stable in‐house‐developed a‐TiO2 ink, exhibiting optimal shelf life of five months and repeatable jetting, producing layers with nanoscale thickness resolution. Most importantly, device electrical characterization reveals synaptic dynamics, leading to activity‐dependent conductance state retention and adaptation characteristics, implying inherent learning capabilities. The synaptic dynamics are attained by solely adjusting the duty cycle of the applied pulsed voltage trigger, while keeping amplitude and polarity fixed, a method readily compatible with realistic applications. Furthermore, I–V analysis demonstrates a dynamic range dependence on a‐TiO2 layer thickness and conduction mechanism that is akin to the conventionally developed electronic TiO2 synapses. The developed devices provide a time‐ and cost‐effective ecologically benign alternative toward biomimetic signal processing for future flexible neural networks.

Cleaner production is certainly a challenge of our everyday life, and a lot of effort and energy is required to achieve it. This paper has created a model of five strategies for cleaner production in Libyan industry, which have been evaluated on the basis of eight criteria. In order to determine the significance of the criteria, a novel interval rough SWARA (step-wise weight assessment ratio analysis) method has been developed, which takes into account the preferences of decision-makers (DMs) by applying interval rough numbers. A novel interval rough ARAS (additive ratio assessment) method has been developed for the evaluation and selection of the most favorable strategy for cleaner production. The integration of the developed methods has yielded results showing that the first strategy, launching awareness-raising campaigns to publicize these policies, represents the most realistic and best current solution to achieve cleaner production in Libyan industry. A comparative analysis with some existing interval rough methodologies has been presented to verify the superiority of the proposed model. In addition, in a sensitivity analysis, the weight of the most significant criterion has been changed.

ABSTRACT This paper aims to extend an understanding of the cognitive drivers, namely excitement and sincerity, of brand love and store brand loyalty. It also examines the mediating role of brand love in the relationship between excitement and sincerity, and store brand loyalty. Field research, complemented with mall intercept method, was conducted within eight retail facilities of the biggest trade center in a developing country setting. A total of 450 useful questionnaires were collected and hypotheses were tested using structural equation modeling. The results show that excitement and sincerity, as cognitive drivers, are important predictors of brand love. It has been also proved that brand love fully mediates the relationship between excitement and sincerity, and store brand loyalty. The paper contributes to the retailing and brand–customer relationship literature by revealing new predictors of brand love and store brand loyalty, and enriching the existing, faintly researched brand love mediation body of knowledge in the developing country context. It also highlights the features relevant for a better retail store positioning toward creating store brand loyalty. It is expected that the findings can make changes in store brand positioning, as appropriately positioned store brands could lead to emotional connections and loyalty. More specifically, the findings of the paper highlight which store brand cognitive elements could lead to consumer involvement in the buying process.

The aim of this study was to assess awareness among the students of the Faculty of Dentistry of the University of Sarajevo of the occupational health risks associated with dental profession. The research was conducted among the dental students of all years of study at the Faculty of Dentistry of the University of Sarajevo, by using a tailor-made survey questionnaire. The questionnaire was completed by 446 students. Results: 92% of students believe that dentistry is a profession that involves a high level of risk for the outbreak of occupational diseases. Students believe that practicing dentistry can most often lead to various infections (70%) and vision impairments (64%), and that the most common potential causes of occupational diseases are poor positioning and incorrect body posture during work (88%) and infections (78%). When asked whether the occupational diseases among dentists are preventable, 89% of students gave an affirmative answer, and pointed to the requirement to use Personal Protection Equipment – PPE (94%) as the most important measure for the prevention of occupational diseases among dentists. The results of the survey show that the students of dentistry at the Faculty of Dentistry of the University of Sarajevo have reached a certain level of awareness of the health risks that are associated with their future profession. The students have taken a largely identical view that dentistry is a profession that involves a high level of risk for the development of occupational diseases.