Development and validation of the project manager skills scale (PMSS): An empirical approach.

This paper presents the development and validation of the Project Manager Skills Scale (PMSS), a novel instrument designed to quantify and evaluate the critical skills of project managers. The PMSS is anchored in a comprehensive literature review and expert feedback and identifies five key dimensions of project manager skills: Technical Skills, Managerial Competences, Communication Skills, Management Style-Leadership, and Technological and Methodological Competences. The discovery of an additional fifth dimension in this study underscores the multidimensional nature of project manager skills and deviates from the initial four-cluster expectation outlined in the project management literature. The research framework employed in this study incorporated exploratory and confirmatory factor analysis. Empirical data were gathered from 257 project managers. The criteria for respondent selection were familiarity with the concept of project management and current or past engagement in a project. The findings reveal the relative importance of each dimension and highlight the multifaceted nature of project management. The study emphasizes the need for a balanced skill set that encompasses technical expertise, managerial competences, communication skills, leadership qualities, and technological and methodological competences to achieve successful project outcomes. Despite its significant contributions, this study acknowledges its limitations in terms of geographical scope and sample diversity and suggests future research directions for the development of a universally applicable understanding of project manager skills.

Exposure to hazmat road accidents - Toxic release simulation and GIS-based assessment method.

Industrial demand has intensified production, utilization, and transport of hazardous materials (hazmat). As the production and use of hazardous materials are frequently carried out at different locations, accidents during the transport of hazmats constantly occur. The most critical points on the hazmat routs within inhabited urban or rural areas are centres where the population with increased vulnerability reside. This study aims to assess the exposure of people with disabilities to the impact of hazmat road accidents, in order to provide evidence-based knowledge necessary for the establishment of competent disaster preparedness procedures. A case study was developed for ammonia release from a tanker truck in the vicinity of the Institution for Children and Youth with Disabilities in Veternik, a suburban settlement of Novi Sad, Serbia. An integrated methodology for the risk assessment of the identified problem was proposed focusing on environmental and human-induced variables with a significant impact on the hazard magnitude. The simulation conducted with ALOHA (Areal Locations of Hazardous Atmospheres) confirmed assumption that the combination of high temperature and low wind speed can cause the worst-case scenario i.e. to expose a larger surface area to the influence of released ammonia. In addition, hazard maps were developed by importing the simulated area of ammonia spread into Quantum GIS (QGIS) software.

Occurrence of bisphenol A and microplastics in landfill leachate: lessons from South East Europe.

In order to confirm the landfills as potential sources of microplastics and bisphenol A (BPA), the investigation of microplastics occurrence and concentration levels of BPA in landfill leachate samples from three landfills sites in the South East Europe was conducted. The landfills have been selected depending on the different waste management practice, waste amounts, operating period as well as leachate management practice. Microplastic was detected in different sizes, shapes and colours in all analysed leachate samples. The obtained average concentration values of the microplastics particles in the leachate samples from all three landfills ranged from 0.64 to 2.16 mg L-1. The BPA was detected in leachate samples from all landfill sites in average concentration levels from 0.70 to 2.72 mg L-1 which are related to the content of microplastics.

From inequitable to sustainable e-waste processing for reduction of impact on human health and the environment.

Recycling of electric and electronic waste products (e-waste) which amounted to more than 50 million metric tonnes per year worldwide is a massive and global operation. Unfortunately, an estimated 70-80% of this waste has not been properly managed because the waste went from developed to low-income countries to be dumped into landfills or informally recycled. Such recycling has been carried out either directly on landfill sites or in small, often family-run recycling shops without much regulations or oversights. The process traditionally involved manual dismantling, cleaning with hazardous solvents, burning and melting on open fires, etc., which would generate a variety of toxic substances and exposure/hazards to applicators, family members, proximate residents and the environment. The situation clearly calls for global responsibility to reduce the impact on human health and the environment, especially in developing countries where poor residents have been shouldering the hazardous burden. On the other hand, formal e-waste recycling has been mainly conducted in small scales in industrialized countries. Whether the latter process would impose less risk to populations and environment has not been determined yet. Therefore, the main objectives of this review are: 1. to address current trends and emerging threats of not only informal but also formal e-waste management practices, and 2. to propose adequate measures and interventions. A major recommendation is to conduct independent surveillance of compliance with e-waste trading and processing according to the Basel Ban Amendment. The recycling industry needs to be carefully evaluated by joint effort from international agencies, producing industries and other stakeholders to develop better processes. Subsequent transition to more sustainable and equitable e-waste management solutions should result in more effective use of natural resources, and in prevention of adverse effects on health and the environment.

Overview of Erasmus+ NETCHEM project: ICT networking for overcoming technical and social barriers in instrumental analytical chemistry education.

The paper briefly presents goals, activities, challenges, and outcomes of the NETCHEM project ( http://www.netchem.ac.rs/ ) that was co-funded by the Erasmus+ Program of European Union (573885-EPP-1-2016-1-RS-EPPKA2- CBHE-JP). The project has been started in October 2016 and with extension lasted until April 2020. Western Balkan region has been targeted by upgrading capacities for education and research in environmental and food analysis in cooperation with partners from France, the UK, and Czech Republic. NETCHEM platform providing Web Accessed Remote Instrumental Analytical Laboratories (WARIAL) network, Database service and Open education system was created in order to improve the cooperation, educational, and research capacities of Higher Education Institutions involved, but also targeting whether audience not only from academic domain but from industry as well. The NETCHEM platform is free for access to public; thus, the external users to NETCHEM consortium can not only see its content but also actively participate, enter Database and WARIAL network, and upload their own educational/research material.

Comparative effectiveness of pulmonary arterial hypertension drugs in treatment-naive patients: a network meta-analysis.

Aim: No network meta-analysis has been conducted to study efficacy of drug therapies specific for treatment of pulmonary arterial hypertension in treatment-naive patients only. Methods: Randomized controlled trials on pulmonary arterial hypertension-specific drug therapies were searched and a Bayesian network meta-analysis was performed. The 6-min walking distance (6MWD) and all-cause mortality were efficacy outcomes, whereas discontinuation due to adverse events was a safety-related outcome. Results: Analysis included 3.713 patients from 21 trials. Combination of ambrisentan and tadalafil showed the greatest impact on 6MWD, followed by epoprostenol and intravenous treprostinil (high dose). The latter two demonstrated marked effect size on mortality, although not statistically significant. Conclusion: According to 6MWD, ambrisentan/tadalafil combination was considered as most effective among all comparisons. Prospero ID: CRD42019110832.

Decomposition of pharmaceutical micropollutant - diclofenac by photocatalytic nanopowder mixtures in aqueous media: effect of optimization parameters, identification of intermediates and economic considerations.

This study evaluates application of three different nanopowder mixtures for decomposition of diclofenac (DCF), one of frequently detected pharmaceutical in wastewater. Analyzed three photocatalytic mixtures ZnO/SnO2, ZnO/TiO2 and ZnO/In2O3 are for the first time used for diclofenac degradation. A set of experiments were performed in order to investigate influence of catalyst concentration (0.10-0.60 mg mL-1), initial concentration of diclofenac (0.002-0.010 mg mL-1) and pH value (5-9). The increase in the catalyst concentration leads to a decrease in the degradation rate constant, which is the most pronounced in the ZnO/TiO2 and ranges from 0.47 (6) min-1 to 0.25 (3) min-1. The influence of pH on efficacy shows completely different effects: ZnO/In2O3 is most effective in alkaline environments, ZnO/TiO2 in neutral environments, while ZnO/SnO2 efficiency is good in both alkaline and acidic environments. Initial concentrations of diclofenac showed a complex effect on the degradation rate. The four dominant intermediates were detected by LC MS/MS technique. In case of all three nanomaterials, intensive degradation was achieved in first 30 minutes. The economical analysis of photocatalytic treatment was provided where the preparation of nanomaterials does not demand high costs and with the highest diclofenac concentration, total operation costs are the lowest (77.14 US$/kWh).

A Bayesian Network Meta-analysis of Add-on Drug Therapies Specific for Pulmonary Arterial Hypertension.

Background: Recently published meta-analyses did not discriminate between drug agents used for initial and sequential combination therapy. Objective: To assess the comparative efficacy of drugs specific for the treatment of pulmonary arterial hypertension (PAH) as add-on therapies based on 6-minute walk distance (6MWD), all-cause mortality, and discontinuation due to adverse events (AEs). Methods: EMBASE, PubMed, Cochrane Library, and ClinicalTrials.gov were searched until December 9, 2018, for the randomized, placebo-controlled clinical trials (RCTs) conducted on primarily adult patients diagnosed with PAH. Data extracted from applicable RCTs were as follows: for 6MWD mean change from baseline, the total number of patients, and the number of patients with events, per treatment. Network meta-analysis (NMA) was conducted in a Bayesian framework. Results: A total of 16 RCTs were eligible for analysis, with 4112 patients. Add-on therapy with tadalafil or inhaled treprostinil performed better than endothelin receptor antagonists alone [27 m; 95% credible interval (CrI): (11, 43); and 19 m; 95% CrI: (10, 27); respectively]. Add-on therapy with macitentan or bosentan performed better than phosphodiesterase type 5 inhibitors alone [26 m; 95% CrI: (6.4, 45); and 22 m; 95% CrI: (5.1, 38); respectively]. Differences in all-cause mortality and discontinuation due to AEs were nonsignificant. Conclusion and Relevance: Our NMA evaluated efficacy and safety of add-on therapies in patients with PAH. None of the previous meta-analyses evaluated RCTs focusing solely on patients pretreated with another PAH-specific drug therapy. Our results support guideline recommendations on combination therapy in PAH patients and add the quantitative perspective on which sequential therapy demonstrated the greatest effect size.

Role of optical coherence tomography in the early detection of macular thinning in rheumatoid arthritis patients with chloroquine retinopathy.

BACKGROUND: Chloroquine and hydroxychloroquine are drugs that are primarily used for the treatment of malaria and are also recommended for treating connective tissue disorders, autoimmune diseases, and some dermatological and inflammatory diseases. Treatment with these drugs has potential risk for the development of retinopathy, clinically characterized by bilateral pigment changes in the macula, as one serious ocular complication. The aim of this research was to evaluate the parafoveal and perifoveal macular retinal thickness, as central foveal thickness in adult patients with rheumatoid arthritis (RA) on chloroquine therapy using optical coherence tomography (OCT). MATERIALS AND METHODS: In this cross-sectional study, 56 RA patients (56 eyes) were included and examined. All patients were treated with chloroquine (tablets resochin or delagil) at a dose of 250 mg/day without treatment with steroids and other immunosuppressive drugs. Patients were divided into two groups, namely, Group I patients - no visible changes in the macula (26 patients) and Group II patients- with visible changes in the macula (30 patients). The central fovea thickness and parafoveal and perifoveal retinal thickness in all quadrants were measured by OCT and compared in both groups. RESULTS: There are a significantly higher number of eyes without thinning of the macula in Group I patients than in Group II (P < 0.001) patients. There are a higher number of patients with recorded parafoveal thinning in Group II patients, especially in the inferior, nasal, and temporal sectors, respectively (P < 0.05). CONCLUSION: Maculopathy is the main side effect of chloroquine therapy in RA patients that can be detected by OCT in the early stages of the macular involvement.

Health risk assessment of PAHs, PCBs and OCPs in atmospheric air of municipal solid waste landfill in Novi Sad, Serbia.

The municipal solid waste landfill in Novi Sad, Serbia is in its operative status from early 1980s and represents potential significant source of environmental compartments pollution and the threat to human health as a result of undeveloped waste management practice. Residues of Polycyclic Aromatic Hydrocarbons (PAHs) and Persistent Organic Pollutants (POPs) as toxic, mutagenic, teratogenic and carcinogenic chemicals were investigated in ambient air of landfill site in Novi Sad. Passive air sampling technique was used for the purpose of ambient air sampling. Total risk to the human health is calculated as a sum of individual risks for each group of substances according to the recommended United States Environmental Protection Agency (US EPA) methodology. The overall results indicate that the landfill site in Novi Sad does not pose a relevant treat to human by inhalation of PAHs and POPs. The effect of low concentrations, non-monotonic dose response, synergistic and amplifying effects of chemical complexes must be highly respected while performing future health risk assessment.

Genomic variation in the MAP3K5 gene is associated with ß-thalassemia disease severity and hydroxyurea treatment efficacy.

AIM: In this study we explored the association between genetic variations in MAP3K5 and PDE7B genes, residing on chromosome 6q23, and disease severity in ß-hemoglobinopathy patients, as well as the association between these variants with response to hydroxyurea (HU) treatment. Furthermore, we examined MAP3K5 expression in the context of high fetal hemoglobin (HbF) and upon HU treatment in erythroid progenitor cells from healthy and KLF1 haploinsufficient individuals. MATERIALS & METHODS: For this purpose, we genotyped ß-thalassemia intermedia and major patients and healthy controls, as well as a cohort of compound heterozygous sickle cell disease/ß-thalassemia patients receiving HU as HbF augmentation treatment. Furthermore, we examined MAP3K5 expression in the context of high HbF and upon HU treatment in erythroid progenitor cells from healthy and KLF1 haploinsufficient individuals. RESULTS: A short tandem repeat in the MAP3K5 promoter and two intronic MAP3K5 gene variants, as well as a PDE7B variant, are associated with low HbF levels and a severe disease phenotype. Moreover, MAP3K5 mRNA expression levels are altered in the context of high HbF and are affected by the presence of HU. Lastly, the abovementioned MAP3K5 variants are associated with HU treatment efficacy. CONCLUSION: Our data suggest that these MAP3K5 variants are indicative of ß-thalassemia disease severity and response to HU treatment.

Functional analysis of a novel KLF1 gene promoter variation associated with hereditary persistence of fetal hemoglobin.

Hereditary persistence of fetal hemoglobin (HPFH) is a rare hereditary condition resulting in elevated levels of fetal hemoglobin (HbF) in adults. Typical HPFH is associated with promoter mutations or large deletions affecting the human fetal globin (HBG1 and HBG2) genes, while genetic defects in other genes involved in human erythropoiesis, e.g. KLF1, also result in atypical HPFH. Here, we report the first KLF1 gene promoter mutation (KLF1:g.-148G > A) that is associated with increased HbF level. This mutation was shown to result in drastically reduced CAT reporter gene expression in K562 cells, compared to the wild-type sequence (p = 0.009) and also in reduced KLF1 gene expression in vivo. Furthermore, consistent with in silico analysis, electrophoretic mobility shift analysis showed that the KLF1:g.-148G > A mutation resides in a Sp1 binding site and further that this mutation leads to the ablation of Sp1 binding in vitro. These data suggest that the KLF1:g-148G > A mutation could play a role in increasing HbF levels in adults and further underlines the role of KLF1 as one of the key transcription factors involved in human fetal globin gene switching.

Intermittent hepatic porphyria in pregnancy with good perinatal outcome.

Porphyrias are rare metabolic diseases caused by enzymatic defects of the haeme biosynthesis. Association of pregnancy and acute porphyria is rare, but mortality rate among pregnant women from acute attack has been reported up to 42%. This paper presents a patient with pregnancy complicated by intermittent hepatic porphyria with good perinatal outcome. The pattern of the attack in pregnancy varies individually and it makes porphyric pregnancies a challenge. Previously diagnosed porphyria patients should be closely monitored during pregnancy and diagnosis of acute porphyria must be also considered in all pregnant women with unexplained abdominal pain.

[Unilatelaral iris plateau syndrome after the use of ecstasy].

BACKGROUND: Courmon street name for 3,4-Methylenedioxymethamphetamine (MDMA) is ecstasy. This widely abused "recreational" drug causes both an increased release of monoamine neurotransmitters, including serotonine and dopamine, and an increased reuptake inhibition of serotonin. As a consequence, mydriasis and increased intraocular pressure (IOP) in predisposed patients occur. We present herein a rare case of acute increased IOP after use of ecstasy. CASE REPORT: A female patient, aged 38 years, visited doctor complaing of a decreased vision acuity and severe pain in the left eye and in the left part of the head. The initial treatment was urgent antiglaucomatous therapy followed by withdrawal of subjective problems of the patient and improvement of objective finding. History taking procedure revaled that just before the onset of the pain the patient had used ecstasy and had had similar "experience" 6 years ago after cocaine snorting. She had not been to a doctor although she had experienced sporadic migrenous pain. Previous medical records excavation of revealed optic disk (cup-to-dise C/D=06), Bjerum arcuate scotoma and iris plateau with narrow chamber angle (Scheie II-III) so the diagnosis was a rare unilateral iris plateau syndrome of the left eye. Although the patient was given some pieces of information about the dangerous and possible deadly consequences of psychoactive substanace abuse, she has not continue the treatment. CONCLUSION: Ecstasy abuse might cause a complete loss of vision, thus medicametous and surgical treatment are abligatory.