Logistics in European Traffic Policy

Modular concepts and logistics centers are the basic instruments for improving resource utilization in European transport system. Efficacy of the system and integration of transport services are not as advanced as they could be. Europe needs efficient logistics of freight traffic together with the combining of all aspects of traffic in order to retain and improve its competitiveness and progress in conformity with Lisbon co-modality programme and concept. Rapid development of freight traffic and congestion, accidents, noise and pollution, all the consequences of this rapid development, present economic, social, and ecological problems that have to be solved. Efficient planning, managing and control of transportation system are not yet developed enough. It is necessary to introduce modern logistics solutions in order to use less transport operations for transporting more goods.logistics, logistics centers, multimodality, ecology, traffic.

Minimizing the environmental impact of unused pharmaceuticals: Review focused on prevention

Pharmaceuticals are essential for human health, but they become an environmental concern when entering the environment which occurs when residues are excreted after consumption or when unused pharmaceuticals are discarded improperly. Although there are no developed detection methods for all pharmaceuticals that reach the ecosystem, certain groups have been proven to cause adverse effects on ecosystems, including increased mortality in aquatic species and changes in physiology, behavior, or reproduction. Particular attention is devoted to these groups of pharmaceuticals and their environmental impact. In this review, the authors suggest measures for the reduction of unused pharmaceuticals in the environment, with a strong emphasis on prevention. Various policy interventions are recommended across the lifecycle including source-directed, user-orientated, and waste management measures, to prevent the creation of household pharmaceutical waste and to ensure environmentally friendly ways of pharmaceutical household waste disposal. Preventive measures include rational pharmaceutical consumption, prescribing greener drugs, or designing pharmaceuticals that are benign and easily biodegradable, improved disease prevention, personalized medicine, enhanced dimensioning of pack sizes, and marketplaces for redistribution of unused pharmaceuticals. The next step is to prevent unavoidable waste to reach the environment, so proper collection and disposal of unused pharmaceuticals is of utmost importance. Finally, educating health professionals and the public and partnership between environmental and healthcare scientists are of vital significance in all stages of the pharmaceuticals’ lifecycle. Minimalization of the level of pharmaceuticals in the environment will benefit human life

Validation of the oral health impact profile - 14 in patients with head and neck cancer

The Oral Health Impact Profile-14 (OHIP-14) was designed to assess patients? perception of the impact of oral disorders on their quality of life (QoL). Although the OHIP-14 is now frequently used in patients with head and neck cancer, data related to its measurement properties in this population are scarce. The aim of the present study was to evaluate the reliability and validity of the OHIP-14 in a sample of Serbian patients with head and neck cancer. Data were available for 345 patients (257 [74.5%] males; aged 30-92 years), with head and neck cancer. All patients completed the OHIP-14 and the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and QLQ-H&N35. Factor analyses, internal consistency reliability (i.e., Cronbach?s ? coefficient), and construct validity were analyzed. The factor analyses confirmed that 14 OHIP items were measuring a single underlying factor. Cronbach?s ? coefficient was 0.98 and corrected item-total correlations ranged 0.77-0.93. Lower OHIP-14 scores (i.e., lower impacts on oral health) were more frequently present among patients who had only surgery as a therapeutic procedure compared to those who had surgery accompanied with radio- and chemotherapy (p< 0.01). Patients with a tumor stage 0-II also had lower OHIP-14 scores compared to those who had a tumor stage III-IV (p< 0.01). The OHIP-14 correlated significantly with the QLQ-C30 and QLQ-H&N35 scales. As a unidimensional instrument, the OHIP-14 provides oral QoL assessments with sound internal consistency reliability and construct validity among patients with head and neck cancer

Case Study of Diabetes

Funding Information: L.V.L. would like to acknowledge Fundação para a Ciência e a Tecnologia (FCT—MCTES) for its financial support via the project UIDB/00667/2020 (UNIDEMI). Publisher Copyright: © 2023 by the authors.European cities should address the climate change challenges, improving quality of life and reducing costs. They need potential smart and digital approaches. Public health (PH) has recognized climate change as a major challenge. The development of urban policies should be guided by evidence-based PH practices. The environmental health determinants and the climate crisis now represent a clear PH threat. The core of the Smart City is sustainability, and its basic condition is active PH. The inclusion of public health into the pillars of the Smart City concept to contribute toward mitigating PH crises, such as the COVID-19 pandemic, is a framework for action. Design Science Research Methodology (DSRM) is used to elicit a Smart Public Health City (SPHEC) framework. A set of PH and smart city experts participated in the DSRM process, using diabetes as a case study. The European Green Deal served as a blueprint for this transformational change toward a healthier and more sustainable city. The SPHEC framework was defined by elucidating clearly the several dimensions of the PH functions within a digital city, via the identification of a set of digital PH services that are required to support the SPHEC framework. This allows for an assessment of the actual benefits that are obtained with the digital health services, and provides evidence for guiding decision-making. The role of digital PH services emerges from the analysis of the SPHEC framework, through the development of proper digital health services within the smart city, strengthening capacity and resilience in future climate emergencies, and motivating policy makers to take this challenge more seriously.publishersversionpublishe

Sistem za praćenje zagađenja vodotoka usled nekontrolisanog ispuštanja otpadnih voda sa plovila i splavova

Vessels and floating boats, specially boat – restaurants, are source of sanitary waste waters which are more and more dangerous for water streams. As part of the technological development project, system for redox potentials and waste substances concentration monitoring system in natural aquatic surrounding was made. Therefore, appropriate software packages for monitoring, registration and archiving of results measured by sonda, located on a floating boat on adequate location of river Sava for relevant measurements, were developed. This article presents system characteristics, software and hardware, as well as information and communication model that are used by relevant local, regional and national monitoring staff.Plovila i splavovi, a posebno splav-restorani, predstavljaju izvor otpadnih voda koje sve više zagađuju vodotoke. U okviru projekta tehnološkog razvoja osmišljen je sistem za praćenje promene koncentracije odgovarajućih zagađujućih supstanci i redoks potencijala u prirodnoj akvatičnoj sredini. U tu svrhu su razvijeni odgovarajući softverski paketi za monitoring, registrovanje i arhiviranje rezultata merenja, ostvarenih pomoću sonde, postavljene na splav koji se nalazi na podobnoj lokaciji na Savi za dobijanje relevantnih rezultata. U radu su prikazane karakteristike sistema, hardvera i softvera, kao i model informisanja i komunikacije sa relevantnim korisnicima rezultata monitoringa na lokalnom, regionalnom i nacionalnom nivou

Predictors of health-related quality of life in Serbian patients with head and neck cancer

The aim of this study was to identify predictors of the Health-Related Quality of Life (HRQoL) in patients with head and neck cancers (HNCs). In total, 345 patients with HNCs were interviewed. A self-report questionnaire was administered to collect data about demographic characteristics, health status, smoking, alcohol consumption habits, and HRQoL. It were used the EORTC Instruments - Quality of Life Questionnaire-Core 30-questions (QLQ-C30), Quality of Life Questionnaire - Head and Neck Module 35-questions (QLQ-H&N 35) and OHIP-14 instrument for HRQoL assessments. Clinical information and treatment data were collected from medical records. Five groups of HRQoL predictors were identified: demographic, socioeconomic, behavioral, psychophysical, and clinical/treatment. These HRQoL predictors had a strong (i.e., age, level of social support and social contact, level of education, depression, fatigue, presence of gastrostomy, comorbidities, and use of pain medications and supplements), a moderate (i.e., marital status, smoking, sexuality problems, time since diagnosis, presence of tracheostomy, and side effects outcomes of radio and chemotherapy) and a small impact (i.e., employment/financial difficulties, tumor site and stage, and surgical procedure). Study identified nineteen predictors that had significant, moderate and small impact on the HRQoL of patients with HNCs. Some of the predictors, like levels of social support and social contact, depression, and comorbidities could be targets for innervations to improve HRQoL

Herbicide Clomazone Detection Using Electroanalytical Approach Using Boron Doped Diamond Electrode

In this work, for the first time we proposed electrochemical behavior and development of an analytical procedure for quantification of pesticide clomazone. Electrochemical behavior of clomazone's at boron-doped diamond electrode is characterized with irreversible oxidation at potential of around 1.6 V, in Britton-Robinson buffer solution at pH 2. It was found that potential of this oxidation was not pH dependent excluding presence of proton in the electrochemical reaction. Square wave voltammetry method was the most appropriate for clomazone quantification and proposed procedure was successfully applied for determination of clomazone in river water samples. Obtained parameters, detection limit of 0.21 mu M and working linear range from 1 to 100 mu M and satisfied selectivity can indicate that presented results open new field in research of this group of pesticides and offer possible replacement to the sophisticated and expensive chromatographic methods

Green Deal as a Climate Changes Dam on the Road to Health

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Reality of children's new environment and future policy needs

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SDGs in healthcare organisations – for better environment and better health

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