Search Results (1,147)

Ethno-tourism is increasingly recognized as a driver of rural development and cultural preservation, particularly in the Balkans, where ethno-villages represent important centers of heritage, identity, and community revitalization. Despite its significance, the systematic assessment of sustainability in ethno-tourism remains underexplored. This study addresses this gap by applying the Analytic Hierarchy Process (AHP) to evaluate the sustainability performance of thirteen ethno-villages across Serbia, Montenegro, Bosnia and Herzegovina, and Croatia. Data were collected through interviews with owners and managers, complemented by benchmarking and SWOT analyses, to develop a multi-criteria model incorporating five dimensions: economic performance, environmental sustainability, infrastructure and management, tourism attractiveness, and socio-cultural aspects. The results highlight economic performance as the most influential factor, followed by environmental sustainability and infrastructure, while tourism attractiveness and socio-cultural aspects had relatively lower importance. The ranking of villages revealed Drvengrad Mećavnik (Serbia) as the most sustainable destination, with robustness confirmed through sensitivity analyses. This study represents one of the first comprehensive, multi-criteria evaluations of ethno-village sustainability in the Balkans. The results demonstrate that long-term success depends on balancing financial viability with ecological practices, infrastructural investment, and cultural preservation. This research provides evidence-based recommendations for policymakers and stakeholders, and highlights the value of multi-criteria approaches for sustainable tourism planning. Full article

Ten-field crop rotation systems reduce the environmental impact of sustainable agriculture by reducing pollutant emissions, helping to reduce the agricultural sector’s dependence on imported natural gas, and increasing overall crop yields through more efficient use of recycled organic fertilizers. This study aims to comprehensively analyze the feasibility and effectiveness of implementing 10-field crop rotation for biofuel production in Ukraine to ensure energy and food security. The study was conducted in Ukraine, which is characterized by a predominantly temperate continental climate. An analysis conducted between 2020 and 2024 showed that, despite a reduced cultivated area in Ukraine, the yield of major agricultural crops increased by an average of 10–20% due to the adoption of intensive farming methods. Based on the conducted research and the justification for using a 10-field crop rotation for biofuel production, the annual productivity of the planned areas was predicted. The significant potential for biofuel production was estimated at 11.1 million tons of bioethanol, 3.16 million tons of biodiesel, 6.18 billion m³ of biogas, and 3.87 million tons of solid biofuel, which would cover Ukraine’s domestic needs for gasoline and diesel fuel many times over and could potentially replace approximately 31% of Ukraine’s annual natural gas consumption. Scientific research has shown that using digestate as an organic fertilizer increases the yield of major crops by 53–83% and helps to normalize soil acidity. Full article

Biomolecules of microbial origin are gaining attention for their use in various industries, including cosmetics, due to their broad bioactivities, peculiar properties, and sustainability. This study aimed to develop a novel, eco-friendly nanoemulsion from fungal chitosan hydrochloride (ChC), Pseudomonas aeruginosa biosurfactant (PaB), and grape seed oil (GSO), and to assess its antimicrobial action, biofilm control, and biocompatibility. High-energy emulsification was performed to produce the nanoemulsion (CCh-PaB-GSO), which was characterized by FTIR. Its stability was monitored for 30 days via DLS, zeta potential (ZP), and PDI. The minimum inhibitory concentration (MIC) for cariogenic Streptococcus species, inhibitory fraction concentration (FIC), influence on exopolysaccharide (EPS) quantification produced by bacteria, bacteria’s cell wall hydrophobicity, and biofilm control were determined. Biocompatibility was assessed using the HET-CAM technique by determining the irritation potential. FTIR analysis confirmed the formation the interaction between the substances that compound the nanoemulsion. The CCh-PaB-GSO had nanometric micelles (169.5–203.4 nm), PDI (0.241–0.271), and a positive ZP (+20.25 to +31.94 mV). It showed a consistent MIC (2.0 mg/mL CCh, 0.1 mg/mL PaB, and 3.2 mg/mL GSO) for all tested Streptococcus species and an indifferent interaction effect, FIC (1.32). At sub-MIC, the CCh-PaB-GSO effectively reduced EPS and microbial cell wall hydrophobicity, inhibiting biofilm adhesion. The CCh-PaB-GSO demonstrated biocompatibility with no signs of irritation. In conclusion, the ChC-PaB-GSO system forms an effective and stable nanoemulsion with potential for application as an eco-sustainable and biocompatible product for caries control. Full article

Bosch–Boonstra–Schaaf optic atrophy syndrome (BBSOAS) is an extremely rare neurological condition caused by a disruption in the NR2F-1 gene. The most common clinical features are optic atrophy and intellectual and developmental delay. This case report aims to describe the cognitive and language profile of a six-year-old girl diagnosed with BBSOAS, with a focus on the syndrome’s impact on her developmental outcomes. A detailed assessment of her cognitive and speech–language abilities is provided. Given the limited number of published case studies on BBSOAS, this report integrates relevant findings from the literature, including information on epidemiology, diagnostics, clinical manifestations, and developmental outcomes. It contributes to the expansion of the known mutational spectrum of BBSOAS, in addition to documenting its phenotypic presentation of cognitive and speech–language development. The case is analyzed within the context of current evidence, emphasizing the importance of early assessment, individualized intervention, ongoing developmental monitoring, and the potential for tailored support to promote optimal developmental outcomes. Full article

Cardiovascular (CV) disease, chronic kidney disease, obesity, and diabetes mellitus have reached epidemic proportions over the past few decades. Accumulating evidence highlights the strong interconnection between these conditions, leading to the definition of a broader disease entity known as cardio-renal-metabolic (CRM) syndrome. This newly recognized clinical entity presents important challenges in identifying the optimal treatment strategy within a holistic, patient-centered framework. In line with this, sodium glucose cotransporter 2 inhibitors (SGLT2is), owing to their multifaceted pharmacological effects, have been suggested as possible treatment options in the management of CRM. SGLT2is exert their antihyperglycemic effects by impeding the renal reabsorption of sodium and glucose, causing glycosuria and natriuresis. Research has confirmed that their unique beneficial effects extend beyond glycemic control, reducing CV death and hospitalizations in patients with heart failure, and the incidence of kidney failure in dedicated kidney outcome studies—regardless of diabetes status. Furthermore, these agents contribute to weight loss and blood pressure reduction. Their benefits appear to stem from a combination of factors, which include reduced oxidative stress, lower levels of inflammation, regulated neurohormonal activation, improved endothelial function, and enhanced metabolic efficiency. This review aims to provide a comprehensive analysis of the pathophysiological mechanisms underlying the effects of SGLT2is in CRM syndrome, synthesize evidence from landmark clinical trials, evaluate current experimental and diagnostic approaches, and provide the emerging role of SGLT2is in the treatment of this new clinical entity. Full article

Background: Emotion regulation (ER) difficulties are closely linked to maladaptive coping strategies, including impulsive and emotional eating, which undermine health and well-being in young adults. Technical university students are particularly vulnerable due to factors such as a high academic workload, sedentary behavior, and performance-related stress. This study evaluated the effects of a four-week structured physical activity intervention on ER and eating behaviors among engineering students. Methods: Seventy first- and second-year computer science and engineering students (40 males and 30 females, aged 19–25 years) from Politehnica University of Bucharest participated in the study. The intervention included three weekly supervised training sessions and a daily step count requirement (≥6000 steps), verified via weekly smartphone submissions. Pre- and post-intervention assessments employed the Difficulties in Emotion Regulation Scale (DERS-36) and the Adult Eating Behavior Questionnaire (AEBQ-35). Data were analyzed using Kolmogorov–Smirnov tests, Wilcoxon signed-rank tests, and paired-sample t-tests. Results: Significant improvements were observed in five ER domains—non-acceptance of emotional responses, goal-directed behavior, impulse control, access to regulation strategies, and emotional clarity (all p < 0.01). No change occurred in emotional awareness (p > 0.05). Eating behaviors (restrained, emotional, and external eating) showed no significant differences pre- and post-intervention (all p > 0.05). Conclusions: A short-term, structured physical activity program enhanced emotion regulation capacities but did not alter eating behaviors in the short run. These findings highlight the feasibility of embedding low-cost, exercise-based modules into higher education to strengthen students’ psychological resilience. Longer and multimodal interventions may be required to produce measurable changes in eating behaviors. Full article

This study focuses on the susceptibility and surface degradation of low-alloy carbon steel 42CrMo4 to corrosion and cavitation erosion, as this steel is widely used in marine environments with aggressive chemical species and harsh conditions. Due to its high strength and fatigue resistance, 42CrMo4 steel is often employed in offshore mechanical components such as shafts and fasteners as well as crane parts in ports and harbors. Various experimental methods, including corrosion and cavitation tests, were used to assess the steel’s surface integrity under extreme conditions. Surface changes were monitored using modern analytical tools for precise assessments, including image and morphological analyses, to quantify degradation levels and specific parameters of defects induced by corrosion and cavitation. Non-destructive techniques such as optical microscopy (OM), scanning electron microscopy (SEM), energy-dispersive spectroscopy (EDS), and image analysis software were employed for the quantitative assessment of morphological parameters and elemental analysis. EDS analysis revealed changes in elemental composition, indicating corrosion products that caused significant mass loss and defect formation, with degradation increasing over time. The average corrosion rate of 42CrMo4 steel in a 3.5% NaCl solution reached a peak value of 0.846 mm/year after 120 days of exposure. Cavitation erosion behavior was measured based on mass loss, indicating the occurrence of different cavitation periods, with the steady-state period achieved after 60 min. The number of formed pits increased until 120 min, after which it decreased slightly. This indicates that a time frame of 120 min was identified as significant for changes in the mechanism of pit formation. Specifically, up to 120 min, pit formation was the dominant mechanism of cavitation erosion, while after that, as the number of pits slightly declined, the growth and merging of formed pits became the dominant mechanism. The cavitation erosion tests showed mass loss and mechanical damage, characterized by the formation of pits and cavities. The findings indicate that the levels of surface degradation were higher for corrosion than for cavitation. The presented approach also provides an assessment of the degradation mechanisms of 42CrMo4 steel exposed to corrosive and cavitation conditions. Full article

This research explores the potential introduction of marine waste-derived biological fillers within bio-epoxy matrices to mitigate the environmental impact of traditional materials, like fiberglass, in boat construction. However, this raises concerns about biofouling and degradation, issues that have not been extensively investigated in composites, especially over a time frame representative of issues that could arise during service. Although protective solutions like biocides and specific coatings exist, degradation remains challenging when attempting to use eco-friendly natural fillers. This study specifically integrates various biological fillers, namely ceramics (mussel, oyster, clam powder) or ligno-cellulosic (i.e., Posidonia oceanica fibers) into epoxy for use in some boat components (bench seats for the bridge deck), aiming to evaluate the biofouling process under extreme (or decommissioning) conditions. In itself, epoxy does represent an ideal enclosing matrix for biomass waste, which ideally needs to be introduced in significant amounts. The development of biofouling in the specific context of Kotor’s Bay, Montenegro, for a duration of six months, and relevant composite degradation were examined. In particular, three situations were reproduced by positioning the samples in a harbor environment: (i) on the bottom of the sea (2 m. depth), (ii) immersed just below the surface (0.5 m. depth), and (iii) on the splashing surface (pier). The concerns identified appear generally limited in the case of the envisaged application, despite some significant wear effect in the case of the samples containing Posidonia. However, this study also offers information and caveats in terms of more ambitious prospective applications (e.g., the boat hull structure). Full article

Objectives: In this study, we aimed to assess the effects of complete decongestive therapy (CDT) on reducing lymphedema and enhancing gross motor strength (GMS), functional ability in the upper arm, quality of life (QoL), and pain relief among women who had undergone breast cancer surgery and chemo/radiotherapy in Montenegro. Methods: This prospective observational/pilot study included 50 women with breast cancer-related arm lymphedema, with an average age of 60.88 ± 12.78 years. The four-week Phase1-CDT program involved manual lymphatic drainage, compression bandaging, skin care, tailored kinesitherapy and patient education. Measurements included arm edema circumference compared to the contralateral arm, pain severity (VAS), arm muscle strength (MMT), functional ability (QDASH), and overall QoL (WHOQOL-BREF). Results: Following CDT, significant reductions in lymphedema circumference were observed in various areas and overall (p = 0.002), along with improvements in overall upper-arm GMS (p = 0.002) and specific upper-extremity movements such as wrist and forearm flexion, supination, and external rotation (p < 0.001). Significant improvements were also observed in pain severity and QDASH scores (p < 0.001), and overall QoL significantly increased (p < 0.001). Muscle strength in the hand, wrist, forearm, and shoulder also improved significantly (p < 0.05). We found a negative correlation between edema size and motor function in different muscle groups of the upper extremities, as well as between the QDASH score, quality of life, and overall upper-arm gross motor strength. Conclusions: It was observed that the four-week Phase 1-CDT program significantly improved lymphedema severity, functional abilities, gross motor strength, quality of life, and pain levels in Montenegrin women with breast cancer who had undergone mastectomy and chemo/radiotherapy. Our findings are limited to the immediate post-intervention period. This study is the first of its kind in Montenegro, suggesting the need for future randomized studies with a larger number of participants are needed. Full article

Background: Urban freight transport is essential for the functioning of cities. The COVID-19 pandemic accelerated the growth of e-commerce, creating new challenges for courier services. While consumer satisfaction has been extensively studied, little attention has been paid to courier drivers’ own perceptions and preferences. This study aims to fill that gap. Methods: A questionnaire survey was conducted among 139 drivers employed in eight courier companies in Serbia. Data were analyzed using parametric statistical methods (Independent Samples T-Test, Paired-Samples T-Test, and One-way ANOVA), with additional post hoc tests to explore group differences. Results: Statistically significant differences were observed across demographic, operational, and safety-related factors (gender, age, residence, occupation, license ownership, delivery area, and type of goods). A strong preference emerged for passenger vehicles as the safest mode of delivery, highlighting a misalignment between current operational practices and drivers’ safety perceptions. Conclusions: The findings emphasize the importance of tailoring delivery strategies to demographic and operational contexts. Practical recommendations include improving transport safety, optimizing delivery zones, and addressing driver satisfaction as a determinant of service quality. The study contributes new insights into last-mile delivery by focusing on the perspectives of courier drivers rather than consumers. Full article

Background: Most of the advances in liver surgery have been achieved in the last few decades. The development of new diagnostic and therapeutic techniques has aided diagnosis and has facilitated more efficient and personalized resections for liver disorders. The estimation of the hepatic reserve has gained great importance because it marks the limit for more aggressive liver resections. It was hypothesized that determination of hepatic reserve by measuring plasma clearance of indocyanine green—following hepatic parenchymal liver resection—could provide earlier and more accurate knowledge of hepatic reserve and thus allow for more personalized therapy. Methods: A prospective observational post-authorization study was performed. Results: Applying ROC curves and the area under the curve (AUC) for the evaluation of the different tests as predictors of liver failure, favorable data were obtained in relation to bilirubin (AUC = 0.922) and prothrombin time (AUC = 1), and for postoperative PDR (AUC = 0.879) and GOT (AUC = 0.857), but not for preoperative PDR (AUC = 0.667) or GPT (AUC = 0.6). Conclusions: The gold standard for predicting early liver failure (the 50:50 criterion at on postoperative day 5) has a very good relationship with the plasma clearance rate of indocyanine green on postoperative day 1 and therefore has the potential to support earlier and more personalized therapeutic interventions, pending further validation. Full article

Methacrylate photopolymer resin (MPR) is widely used in various fields, including the biomedical field. There are several problems associated with their use: the potential toxicity of monomer residues during incomplete polymerization and the possibility of bacterial expansion. Doping polymers with nanoparticles is one of the ways to increase the degree of polymerization (protection from toxicity), improve the performance characteristics of the polymer, and add antibacterial properties. We used an in situ polymerization method to obtain the composites of MPR with tellurium nanoparticles (TeNPs) with a dopant concentration of 0.001, 0.01, or 0.1% (v/v). The composite of MPR+TeNPs had a higher degree of polymerization compared to MPR without NPs, improved mechanical properties, and pronounced antibacterial activity. The effects depended on the concentration of TeNPs. All of the studied composites had no cytotoxic effect on human cells. MPR+TeNPs 0.1% had the maximum antibacterial effect, which is probably realized through Te-dependent induction of oxidative stress (increase in the generation of 9-oxoguanine and long-lived reactive forms of proteins). The results obtained deepen the knowledge about the influence of NPs of leading metals on photopolymerization and the final properties of the methacrylate matrix, and the synthesized MPR+TeNP composites may find potential biomedical applications in the future. Full article

Background/Objectives: Semi-solid extrusion (SSE) three-dimensional (3D) printing offers a versatile approach for fabricating personalized oral dosage forms. This study aimed to develop and optimize losartan potassium tablets produced via SSE 3D printing, focusing on the effects of polymer composition, tablet geometry, drug loading, and superdisintegrant concentration on printability and performance characteristics. Methods: Formulations containing hydroxypropyl methylcellulose (HPMC) 4500 at various concentrations were evaluated for suitability in an ethanol–water (9:1 v/v) solvent system. The optimized formulation (5% w/w HPMC 4500) was used to print tablets with varying shapes, drug loadings (5–15% w/w; approximately 50–150 mg losartan potassium per tablet), and croscarmellose sodium concentrations (0–3% w/w). Printed tablets were characterized for dimensional accuracy, mass uniformity, disintegration time, and drug release behavior. Drug release kinetics were modeled to elucidate the release mechanism. Results: All SSE-printed tablets exhibited excellent dimensional precision (SD < 0.8 mm) and mass uniformity (SD < 0.12 g). Increasing drug loading enhanced the initial release rate, reaching up to 63% in 45 min for 15% loading. The addition of 1% croscarmellose sodium reduced disintegration time to approximately 25 min. Drug release profiles were best described by the Korsmeyer–Peppas model (R² > 0.96), indicating diffusion-controlled release. Conclusions: SSE 3D printing demonstrated robustness and flexibility in producing losartan potassium tablets with consistent quality, tunable release properties, and strong potential for personalized pharmaceutical manufacturing. Full article

Pre-fermentative treatments are essential in winemaking, as they significantly influence the quality and stability of white wines in particular. The synthesis of many compounds obtained from yeast, such as higher alcohols and esters, is influenced by the type and concentration of aromatic precursors present in the must, especially amino acids. Clarification has a positive effect on wine quality, mainly by improving organoleptic properties, with flavour being the most affected. In this study, the influences of different static settling times, different pressures during must extraction and the addition of different bentonite concentrations to the must on the aroma of wines from the autochthonous grape varieties Krstač and Žižak were investigated. The identification of aromatic compounds in the wine was performed using GC/FID-MS analysis. Wine subjected to the longest static settling time (30 h) showed the highest concentration of esters. Krstač wine, which underwent a 30 h of settling, was characterised by an increased concentration of esters, such as isoamyl acetate, ethyl decanoate and ethyl hexanoate, while Žižak wine was characterised by the presence of 2-phenylethyl acetate and isoamyl acetate. The total fatty acid content in Krstač wine obtained by pressing was higher (14.90 mg/L) than in wine produced from free-run juice (8.04 mg/L). Full article

Background/Objectives: Systemic lupus erythematosus (SLE) is an autoimmune disease affecting multiple organ systems, characterized by remissions and relapses. Musculoskeletal involvement occurs in up to 95% of patients and may present as the initial symptom in 50%. Such involvement is often subclinical, without obvious joint or tendon inflammation. Musculoskeletal ultrasound (US) has proven valuable for detecting pathological changes in joints and periarticular structures, including in SLE patients, and early detection, particularly in subclinical stages, supports optimal therapy, monitoring, and improved prognosis. This study aimed to determine the frequency of new clinical manifestations in patients with previously confirmed clinical and subclinical musculoskeletal inflammation after 2 and 5 years, and to evaluate associations with sex, age, BMI, smoking status, ESR, CRP, SLEDAI-2K, complement components C3 and C4, anti-dsDNA antibodies concentrations, and prior treatment. Methods: The study included 34 SLE patients with clinical and 22 with subclinical musculoskeletal inflammation, confirmed at baseline by history, examination, and US. Follow-up at 2 and 5 years recorded new clinical manifestations. Correlations with patient characteristics were assessed to identify predictors. Results: New clinical manifestations occurred in 34% of patients at 2 years and 48% at 5 years, most commonly cutaneous, musculoskeletal, and hematological. Summary analysis identified female sex, lower BMI, and lower baseline SLEDAI-2K scores as the strongest predictors. In the subclinical group, female sex, smoking, and lower SLEDAI-2K scores were predictive, while in the clinical group, female sex, lower SLEDAI-2K scores, lower ESR, and higher anti-ds DNA levels were associated with new manifestations. Conclusions: Female sex, lower BMI, and lower baseline SLEDAI-2K scores are key predictors of new clinical manifestations in SLE patients, highlighting the importance of early detection and individualized monitoring, particularly in patients with subclinical musculoskeletal inflammation. Full article