Background: The aim of this study was to identify the risk factors associated with falling in post stroke patients. Methods: This retrospective case-control study included 561 neurology patients hospitalized for a stroke and divided into two groups: falling patients and non-falling patients. They referred to the Special Hospital for Cerebrovascular Diseases “Sveti Sava” in Belgrade, Serbia, from 2018–2019. Logistic regression analysis was applied to examine socio-economic factors associated with predictors of unmet healthcare needs. Results: A significant difference was seen in the length of hospitalization of falling patients compared to the non-falling (P<0.001). We established statistically significant differences in mental status (P<0.001), sensibility (P=0.016), depressed mood (P<0.001), early (P=0.001) and medium insomnia (P=0.042), psychomotor slowness (P=0.030), somatic anxiety (P=0.044) and memory (P<0.001). Conclusion: Cerebrovascular disease distribution and the degree of neurological deficit primarily altered mental status, which could be recognized as one of the more important predictors for falling after stroke. The identification of risk factors may be a first step toward the design of intervention programs for preventing a future fall among hospitalized stroke patients.

Fiscal sustainability should be defined in the relation between public finances and sustainable economy. It requires a fiscal policy aimed not only at a fiscal balance, but also at the well-being of future generations, while taking the economic, social, environmental and institutional dimensions into account. The objective of this paper is to examine the relationship between fiscal sustainability and efficiency on the example of large cities in Poland in the period from 2008 to 2019. In order to obtain empirical results, a data envelopment analysis and panel data analysis were applied, and a fiscal sustainability index was constructed by means of a multidimensional approach. Based on a sample of 66 large cities in Poland, the results showed that there is a negative relationship between fiscal sustainability and efficiency. These results, however, relate to a specific period in the history of Polish cities when the local debt limits were tightened. The improvement in efficiency allowed local government units to allocate saved local expenditures to the partial repayment of previously incurred local debts. By doing so, Polish cities fulfilled tightened fiscal rules, but their service-level solvency decreased.

Introduction and Objectives: There have been concerns with the level of misinformation regarding coronavirus disease 2019 (COVID-19) and its treatment, drug shortages, as well as increased use and prices of anti-malarials, antibiotics and hygiene products during the recent pandemic. Community pharmacists can play a significant role in disease prevention and treatment in the fight against COVID-19 including providing hygiene information and medicine availability across Africa and generally. Consequently, there is a need to review the role of community pharmacists in preventing unintended consequences during any pandemic as well as the impact of COVID-19 on the demand, availability and prices of suggested medicines for its management. Materials and Methods: Multiple approaches involving a qualitative review of the management of COVID-19 across countries coupled with a pilot study in Ghana among six purposely selected community pharmacists during the early stages of the pandemic assessing patterns of demand, availability and prices of medicines suggested for the management of COVID-19. Alongside this, pharmacists' future role enhancing appropriate medicine use in Ghana and wider combined with the help of senior level co-authors. Results: The majority (five out of six) of pharmacists in Ghana reported increased demand for hydroxychloroquine, antibiotics and vitamins as immune boosters resulting in shortages with price increases particularly for anti-malarials. Conclusion: The global lockdown had impacted on the supply and prices of medicines in Ghana similar to other countries. Community pharmacists can play a key role with encouraging safe medicine use, reducing self-purchasing of medicines and planning workflows during future pandemics including vaccinations. They can also help address potential misinformation and its consequences as well as the unintended consequences of pandemics including better management of non-communicable diseases.

Abstract Infections with various bacteria, especially gram-negative aerobes, are a well-recognized problem in captive cold-blooded animals with immunocompromised health status, or in those kept under poor conditions. Pseudomonas is one of the most represented genera. Here, we present a case of fatal disseminated infection caused by Pseudomonas aeruginosa in a captive green iguana kept at the “Pionirska dolina” Zoo in Sarajevo, Bosnia and Herzegovina. At necropsy, severe stomatitis, pneumonia, hepatitis and nephritis, accompanied with focally extensive dermatitis were observed. Histopathology revealed multifocal necrosis in various visceral organs. Culture and subsequent MALDI-TOF MS analysis were conducted to identify the isolate as P. aeruginosa. Antimicrobial susceptibility testing revealed a wide susceptibility of the isolate, however applied therapy was instilled too late in the presented case. This case demonstrates the significance of timely and accurate identification, and antimicrobial susceptibility testing of bacterial isolates implicated in the pathology of captive reptiles. The importance of monitoring the adequate environmental conditions (enclosure temperature, humidity and conformation), health status and possible clinical signs of illness are highlighted.

SUMMARY Providing in-patient nursing care inevitably involves shift work and shift patterns have been identified as an important factor in determining well-being and satisfaction among nurses. Shifts of 12 h or longer have become increasingly common for nurses in hospitals in some European countries. Longer shifts offer a potential to benefit from a compressed working week, with fewer work days and more days off-work, lower commuting costs, and increased flexibility. Most people find shift work less desirable compared to standard working hours. A cross-sectional cohort study was conducted at the Mostar University Hospital in 2019. A total of 157 subjects participated in the study, 22 (14%) of which were male (medical technicians) and 135 (86%) female (nurses). The mean age of study subjects was 33.3 years (min=20, max=54, SD=8.033). Results of this study suggested that nurses working irregular rotating shifts, with more family members to look after and more than 18 years of professional experience were affected by sleep disturbances between shifts. The study showed that shift work nurses had significantly higher levels of cortisol and prolactin compared with first-shift nurses/medical technicians. The results of this study are expected to stimulate further studies of sleep disturbances among shift nurses.

Abstract Polycyclic aromatic hydrocarbons (PAHs) are formed from anthropogenic activities, i.e. industrial emissions, incomplete combustion of petroleum, coal and other fossil fuels and other industrial and domestic activities. Research areas of this study are four representative locations in the industrial complex, in the city of Banja Luka, Republic of Srpska, Bosnia and Herzegovina. The main objective of the paper is to determine the ecological risk and to assess probable sources of PAHs contamination in soil and groundwater. The results of this study reflect the effects of coal combustion (pyrogenic origin), petrogenic and biomass origin and may provide basic data for the remediation of PAHs in the location. The ecological risk in soil (at depths of 30, 100, 200, 300 and 400 cm) and groundwater is determined. The mean values of ecological risk in soil and groundwater decreased with soil depth. Values of RQ(NCs) for groundwater were found at high ecological risk, for Ant, Chr, DahA, Acy, Pyr, BaA, Phe, Flo, Nap, Ace and Fluo, with values 28.57, 20.59, 300.00, 242.86, 185.71, 1700.0, 76.67, 53.33, 15.83, 100.00 and 57.14, respectively. ∑16PAH indicated high ecological risk for most PAHs, which decreased with soil depth. The value of RQ(NCs) for ΣPAHs in groundwater indicates high ecological risk (ΣPAHs ≥ 800 and RQ(MPCs) ≥ 1). This is the first study on the ecological risk of PAHs in soil and groundwater in industrial soils in Banja Luka and provides baseline information for further studies and additional investigations of this industrial complex.

Despite its tremendous potential, it is still unclear how quantum computing will scale to satisfy the requirements of its most powerful applications. Among other issues, there are hard limits to the number of qubits that can be integrated into a single chip. Multicore architectures are a firm candidate for unlocking the scalability of quantum processors. Nonetheless, the vulnerability and complexity of quantum communications make this a challenging approach. A comprehensive design should imply consolidating the communications stack in the quantum computer architecture. In this article, we explain how this vision, by entangling communications and computation in the core of the design, may help to solve the open challenges. We also summarize the first results of our application of structured design methodologies backing this vision. With our work, we hope to contribute with design guidelines that may help unleash the potential of quantum computing.

Abstract Small and medium-sized enterprises (SMEs) from emerging markets are the most vulnerable types of firms, especially in times of crisis due to time and resource constraints. Thus, this paper aims to help SMEs from emerging markets in choosing the right business partners with whom to cooperate to develop relevant innovations in crisis periods in general, and during the COVID-19 pandemic in particular. To obtain relevant insights, qualitative data from SMEs in Bosnia and Herzegovina were collected in March-April 2020. The findings show that SMEs have embraced new collaborations with business customers and competitors, and developed a collaborative mindset opposed to the traditionally competitive way of doing business in emerging markets. Based on the findings, this paper presents a set of recommendations for managers, and suggests several future research opportunities around the management of openness in the context of SMEs from emerging markets.

Abstract Worldwide, cities are implementing circular economy (CE) strategies to reduce the resources they consume and their environmental impact. However, the evidence of the intended and unintended social consequences of the transition to “circular cities” is scattered. The lack of a coherent overview of the evidence on the subject can hinder effective decision-making in policy and practice. This study examines the extent to which the current literature addresses the social impacts that a transition to a CE produces in cities. We used a methodological approach related to systematic mapping to collate the evidence published over the past decade globally. The study finds that social impacts have rarely been considered in studies of circular cities, and where they have been discussed, the scope has been quite limited, only covering employment (mostly of informal sector workers) and governance practices. This scoping review highlights the need to further analyse and integrate social impact considerations into decision-making connected to transitions towards circular cities.