ser Loan No. 42486-IND: Madhya Pradesh Urban Services Improvement Program [MPUSIP 6D REBIDDING] By www.adb.org Published On :: Full Article
ser Shandong Qixia Ecological Function Conservation Demonstration Project By www.adb.org Published On :: 2024-10-29 Extending across seven provinces and two autonomous regions, the Yellow River Ecological Corridor (YREC) comprises the second largest river basin in the People's Republic of China (PRC) with a population of 120 million. The basin is critical for food security yet faces complex ecological and environmental challenges. The region suffers from severe water scarcity, impacts from climate change and environmentally unsustainable development. Full Article
ser Integrated Services and Livelihood for Displaced People from Myanmar and Host Communities Improvement Project By www.adb.org Published On :: 2025 The project will continue the support of the Asian Development Bank (ADB) to Bangladesh in managing the influx of around one million displaced people from Myanmar (DPFM) since 2017. Now a protracted situation, the crisis is putting significant pressure on infrastructure and causing substantial challenges in terms of food, shelter, health, security, water, sanitation, and other services in the DPFM camps and host communities. Full Article
ser Climate-smart Health Services System Enhancement Project By www.adb.org Published On :: 2025 The project will be aligned with the following impacts: (i) modern public health service system ensuring well-being of all Thais in an effective, fair, sufficient, and sustainable manner developed; and (ii) UHC, including access to essential health care services, sustained. The outcome is: access to quality public hospital services by all in selected provinces improved. Full Article
ser Almaty–Bishkek Economic Corridor Regional Improvement of Border Services Project By www.adb.org Published On :: 2025 The project will build and equip 3 climate-resilient and energy-efficient border crossing points (BCP) between the Kyrgyz Republic and Kazakhstan on the Kyrgyz side of the border and a training center for the Kyrgyz Border Service (the project EA). The project with the total loan and grant financing of $37 Million will help facilitate trade and tourism between the Kyrgyz Republic and Kazakhstan and will contribute to the sustainable economic development along the Almaty-Bishkek Economic Corridor. Full Article
ser Climate Resilient Urban Services Project – Tham Luong Ben Cat By www.adb.org Published On :: 2025 The project will support Ho Chi Minh City People's Committee and their government to finance sound wastewater and drainage system in the remaining catchments, thereby strengthening its foundation as the socioeconomic growth pole of southern Viet Nam. The impact of the project will be improved surface water quality and drainage capacity in HCMC. The outcome will be increased wastewater and drainage collection and treatment capacity in key catchments in HCMC. Full Article
ser Climate-Resilient Water and Sanitation Services Project By www.adb.org Published On :: 2025 Project objectives. The proposed project will assist the government in addressing climate vulnerabilities and enhancing public health and economic conditions by ensuring inclusive access to safe, reliable, climate-resilient, and sustainable WSS services for the residents of Andijan, Djizzak and Fergana provinces; and the Republic of Karakalpakstan. The project will help upgrade and expand the WSS infrastructure in the project regions and support regional suvtaminots in implementing transformational changes. Full Article
ser Stunningly preserved pterosaur fossils reveal how they soared By www.newscientist.com Published On :: Fri, 06 Sep 2024 06:01:26 +0100 The largest pterosaurs, ancient reptiles that were the first vertebrates to master flight, may have mostly soared while smaller ones flapped their wings, a pattern that persists in today's birds Full Article
ser Some fish regrow injured fins and we’re closer to understanding how By www.newscientist.com Published On :: Tue, 01 Oct 2024 12:00:46 +0100 Unravelling the complex biological process that allows fish to regrow injured fins could help advance regenerative medicine in humans Full Article
ser Paramotorists collect rare plant species from Peruvian desert oases By www.newscientist.com Published On :: Wed, 09 Oct 2024 09:00:47 +0100 Kew scientists use paramotorists to collect rare plant species from Peruvian desert oases Full Article
ser Preserved tracks suggest non-avian dinosaurs used their wings to run By www.newscientist.com Published On :: Mon, 21 Oct 2024 20:00:21 +0100 Not all winged dinosaurs were necessarily capable of full flight, but this anatomical feature may have enabled them to travel further by flapping or gliding Full Article
ser We are closer than ever to finally proving the multiverse exists By www.newscientist.com Published On :: Tue, 25 Jun 2024 12:00:00 +0100 One hundred years ago, we discovered there were other galaxies beyond our own. Now, we might be on the verge of another discovery: that there are other universes Full Article
ser Doughnut-shaped swirls of laser light can be used to transmit images By www.newscientist.com Published On :: Fri, 10 May 2024 20:00:21 +0100 Ultra-fast pulses of laser light can be shaped into vortices similar to smoke rings – when chained together, they can carry enough information to transmit a simple image Full Article
ser X-ray laser fires most powerful pulse ever recorded By www.newscientist.com Published On :: Wed, 22 May 2024 12:00:20 +0100 The Linac Coherent Light Source in California fired an X-ray pulse that lasted only a few hundred billionths of a billionth of a second but carried nearly a terawatt of power Full Article
ser We are closer than ever to finally proving the multiverse exists By www.newscientist.com Published On :: Tue, 25 Jun 2024 12:00:00 +0100 One hundred years ago, we discovered there were other galaxies beyond our own. Now, we might be on the verge of another discovery: that there are other universes Full Article
ser Laser helps turn an electron into a coil of mass and charge By www.newscientist.com Published On :: Thu, 11 Jul 2024 20:00:19 +0100 Researchers have reshaped single electrons into spiralling matter waves with distinct handedness that could be used to study and control materials Full Article
ser Gold hydrogen: Is there a huge reserve of clean fuel in Earth's crust? By www.newscientist.com Published On :: Mon, 06 Mar 2023 21:39:18 +0000 Geologists think there may be vast natural stores of hidden hydrogen gas within Earth, but no one is sure how much there is or how much could be recovered for energy Full Article
ser Ocean thunderstorms generate the most intense lightning ever observed By www.newscientist.com Published On :: Tue, 06 Feb 2024 15:00:49 +0000 An analysis of satellite observations has identified some extreme thunderstorms over the Indian Ocean and Gulf of Mexico with lightning flashes so frequent that the sky would appear continuously lit Full Article
ser Striking image shows well-preserved wreck of Shackleton’s doomed ship By www.newscientist.com Published On :: Wed, 30 Oct 2024 18:00:00 +0000 Endurance sank beneath the ice during Ernest Shackleton’s legendary Antarctic expedition. More than a hundred years later, researchers document their own saga of how they found the vessel Full Article
ser Striking image shows well-preserved wreck of Shackleton’s doomed ship By www.newscientist.com Published On :: Wed, 30 Oct 2024 18:00:00 +0000 Endurance sank beneath the ice during Ernest Shackleton’s legendary Antarctic expedition. More than a hundred years later, researchers document their own saga of how they found the vessel Full Article
ser Human brains have been mysteriously preserved for thousands of years By www.newscientist.com Published On :: Wed, 20 Mar 2024 00:01:29 +0000 Intact human brains 12,000 years old or more have been found in unexpected places such as shipwrecks and waterlogged graves, but it is unclear what preserved them Full Article
ser Amazingly preserved Bronze Age village reveals life in ancient England By www.newscientist.com Published On :: Wed, 20 Mar 2024 00:00:59 +0000 A settlement in the east of England burned down in a fire 3000 years ago, falling into a muddy waterway that preserved everything inside the houses including tools, fabric, cooking pots and more Full Article
ser Ancient humans lived inside a lava tube in the Arabian desert By www.newscientist.com Published On :: Wed, 17 Apr 2024 20:00:09 +0100 Underground tunnels created by lava flows provided humans with shelter for thousands of years beneath the hot desert landscape of Saudi Arabia Full Article
ser AI discovers hundreds of ancient Nazca drawings in Peruvian desert By www.newscientist.com Published On :: Mon, 23 Sep 2024 21:00:52 +0100 Archaeologists have used AI to discover hundreds of large-scale drawings depicting figures like llamas, decapitated human heads and killer whales armed with knives Full Article
ser Study Links Gene to Serious Eye Disease By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Study Links Gene to Serious Eye DiseaseCategory: Health NewsCreated: 8/25/2010 6:10:00 PMLast Editorial Review: 8/26/2010 12:00:00 AM Full Article
ser Some Antibiotics Linked to Serious Nerve Damage By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Some Antibiotics Linked to Serious Nerve DamageCategory: Health NewsCreated: 8/28/2013 11:00:00 AMLast Editorial Review: 8/28/2013 12:00:00 AM Full Article
ser Could a Laser Skin Test Someday Replace Biopsy to Spot Melanoma? By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Could a Laser Skin Test Someday Replace Biopsy to Spot Melanoma?Category: Health NewsCreated: 8/21/2015 12:00:00 AMLast Editorial Review: 8/24/2015 12:00:00 AM Full Article
ser Scientists Get Closer to Long-Lasting Flu Vaccine By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Scientists Get Closer to Long-Lasting Flu VaccineCategory: Health NewsCreated: 8/24/2015 12:00:00 AMLast Editorial Review: 8/25/2015 12:00:00 AM Full Article
ser Serious Heart Problem a Family Matter By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Serious Heart Problem a Family MatterCategory: Health NewsCreated: 8/25/2016 12:00:00 AMLast Editorial Review: 8/25/2016 12:00:00 AM Full Article
ser Serious Reactions to Vaccines Rarely Recur: Review By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Serious Reactions to Vaccines Rarely Recur: ReviewCategory: Health NewsCreated: 8/28/2017 12:00:00 AMLast Editorial Review: 8/28/2017 12:00:00 AM Full Article
ser Serious Problems at Florida Stem Cell Clinic By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Serious Problems at Florida Stem Cell ClinicCategory: Health NewsCreated: 8/29/2017 12:00:00 AMLast Editorial Review: 8/29/2017 12:00:00 AM Full Article
ser FDA Warns of Serious Genital Infection With Diabetes Meds By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: FDA Warns of Serious Genital Infection With Diabetes MedsCategory: Health NewsCreated: 8/30/2018 12:00:00 AMLast Editorial Review: 8/30/2018 12:00:00 AM Full Article
ser Even at Low Levels, Toxic Metals Put Heart at Serious Risk: Study By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Even at Low Levels, Toxic Metals Put Heart at Serious Risk: StudyCategory: Health NewsCreated: 8/30/2018 12:00:00 AMLast Editorial Review: 8/30/2018 12:00:00 AM Full Article
ser How to Make a Richer, Healthier Chocolate Dessert By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: How to Make a Richer, Healthier Chocolate DessertCategory: Health NewsCreated: 8/27/2019 12:00:00 AMLast Editorial Review: 8/27/2019 12:00:00 AM Full Article
ser Every Sudden Infant Death Deserves a Closer Look: Report By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Every Sudden Infant Death Deserves a Closer Look: ReportCategory: Health NewsCreated: 8/26/2019 12:00:00 AMLast Editorial Review: 8/27/2019 12:00:00 AM Full Article
ser Conservative Talk Show Host Who Railed Against Vaccines Dies of COVID By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Conservative Talk Show Host Who Railed Against Vaccines Dies of COVIDCategory: Health NewsCreated: 8/23/2021 12:00:00 AMLast Editorial Review: 8/23/2021 12:00:00 AM Full Article
ser AHA News: Star Wrestler-Turned-Coach Discovers Serious Heart Problem at 24 By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: AHA News: Star Wrestler-Turned-Coach Discovers Serious Heart Problem at 24Category: Health NewsCreated: 8/24/2021 12:00:00 AMLast Editorial Review: 8/24/2021 12:00:00 AM Full Article
ser Bedsores Can Cause Serious Harm — Are U.S. Nursing Homes Hiding Cases? By www.medicinenet.com Published On :: Thu, 18 Aug 2022 00:00:00 PDT Title: Bedsores Can Cause Serious Harm — Are U.S. Nursing Homes Hiding Cases?Category: Health NewsCreated: 8/17/2022 12:00:00 AMLast Editorial Review: 8/18/2022 12:00:00 AM Full Article
ser Pot Users Are Less Prone to Sinus Problems By www.medicinenet.com Published On :: Tue, 2 Aug 2022 00:00:00 PDT Title: Pot Users Are Less Prone to Sinus ProblemsCategory: Health NewsCreated: 8/1/2022 12:00:00 AMLast Editorial Review: 8/2/2022 12:00:00 AM Full Article
ser How Do I Increase Serotonin? By www.medicinenet.com Published On :: Tue, 5 Jul 2022 00:00:00 PDT Title: How Do I Increase Serotonin?Category: Diseases and ConditionsCreated: 5/24/2021 12:00:00 AMLast Editorial Review: 7/5/2022 12:00:00 AM Full Article
ser Evidence-based management of symptoms in serious respiratory illness: what is in our toolbox? By err.ersjournals.com Published On :: 2024-10-30T01:30:15-07:00 Extract Living with a respiratory illness requires patients to manage a wide range of symptoms, many of which will worsen as a disease progresses. Breathlessness is a hallmark feature of respiratory conditions, occurring in almost all individuals with COPD and interstitial lung disease (ILD) [1, 2]. Cough is present in 78% of people with ILD and is frequently distressing, with physical, social and emotional impacts [1, 3]. Full Article
ser Treating central sleep apnoea in heart failure: is positive airway pressure and adaptive servo-ventilation in particular the gold standard? By err.ersjournals.com Published On :: 2024-10-30T01:30:15-07:00 Extract We read with great interest the review article by Randerath et al. [1] recently published in the European Respiratory Review. We would like to congratulate the authors on this clearly structured review, which emphasises the urgent need for an increasingly differentiated view of central sleep apnoea (CSA) in the context of precision medicine. Full Article
ser Multicomponent services for symptoms in serious respiratory illness: a systematic review and meta-analysis By err.ersjournals.com Published On :: 2024-10-30T01:30:15-07:00 Background People living with serious respiratory illness experience a high burden of symptoms. This review aimed to determine whether multicomponent services reduce symptoms in people with serious illness related to respiratory disease. Methods Electronic databases were searched to identify randomised controlled trials (RCTs) evaluating multicomponent services that enrolled patients due to symptoms, rather than underlying disease, and provided at least one nonpharmacological intervention. The primary outcome was chronic breathlessness and secondary outcomes were health-related quality of life (HRQoL), cough, fatigue and adverse events. At least two authors independently screened studies, assessed risk of bias and extracted data. Results Five RCTs, involving 439 patients, were included. In comparison to usual care, multicomponent services improved breathlessness mastery (Chronic Respiratory Questionnaire (CRQ) mastery scale, mean difference (MD) 0.43 points, 95% CI 0.20–0.67, three RCTs, 327 participants) and HRQoL (CRQ total score, MD 0.24 points, 95% CI 0.04–0.40, two RCTs, 237 participants). Fatigue did not improve with multicomponent services and no studies evaluated cough. No serious adverse events were reported. The one study evaluating mortality found increased survival in those accessing a multicomponent service. The certainty of evidence was very low, mainly due to detection and reporting bias. Conclusion Multicomponent services improve breathlessness mastery and HRQoL, with minimal risk. These findings support the use of multicomponent symptom-directed services for people living with serious respiratory illness. Full Article
ser The effect of graded exercise therapy on fatigue in people with serious respiratory illness: a systematic review By err.ersjournals.com Published On :: 2024-10-09T00:15:15-07:00 Background In adults with serious respiratory illness, fatigue is prevalent and under-recognised, with few treatment options. The aim of this review was to assess the impact of graded exercise therapy (GET) on fatigue in adults with serious respiratory illness. Methods Electronic databases were searched to identify randomised controlled trials (RCTs) testing GET (involving incremental increases in exercise from an established baseline) in adults with serious respiratory illness. The primary outcome was fatigue and secondary outcomes were health-related quality of life (HRQoL) and adverse events. Two authors independently screened for inclusion, evaluated risk of bias and extracted data. Results 76 RCTs were included with 3309 participants, most with a diagnosis of COPD or asthma. Reductions in fatigue measured by the Chronic Respiratory Disease Questionnaire fatigue domain score were demonstrated following GET consisting of aerobic with/without resistance training (mean difference (MD) 0.53 points, 95% CI 0.41–0.65, 11 RCTs, 624 participants) and GET using resistance training alone (MD 0.58 points, 95% CI 0.21–0.96, two RCTs, 82 participants) compared with usual care. Although the mean effect exceeded the minimal important difference, the lower end of the confidence intervals did not always exceed this threshold so the clinical significance could not be confirmed. GET consistently improved HRQoL in people with a range of chronic respiratory diseases on multiple HRQoL measures. No serious adverse events related to GET were reported. Conclusion GET may improve fatigue alongside consistent improvements in HRQoL in people with serious respiratory illness. These findings support the use of GET in the care of people with serious respiratory illness. Full Article
ser Breathing techniques to reduce symptoms in people with serious respiratory illness: a systematic review By err.ersjournals.com Published On :: 2024-10-30T01:30:15-07:00 Background In adults with serious respiratory illness, breathlessness is prevalent and associated with reduced health-related quality of life. The aim of this review was to assess the impact of breathing techniques on breathlessness in adults with serious respiratory illness. Methods Electronic databases were searched to identify randomised controlled trials testing breathing techniques (techniques that aim to alter the respiratory pattern, excluding respiratory muscle training) in people with serious respiratory illness. The primary outcome was breathlessness and secondary outcomes were health-related quality of life and adverse events. Two authors independently screened for inclusion, evaluated risk of bias and extracted data. Results 73 randomised controlled trials were included with 5479 participants, most with COPD or asthma. Breathing exercises (pursed lip and/or diaphragmatic breathing) reduced breathlessness measured by the modified Medical Research Council scale compared to usual care (mean difference (MD) –0.40 points, 95% CI –0.70– –0.11, eight studies, n=323), although the effect did not exceed the minimal important difference. Yoga breathing also improved modified Medical Research Council score compared to usual care (MD –1.05 points, 95% CI –2.45–0.35, three studies, n=175). Breathing techniques consistently improved health-related quality of life in people with COPD and asthma on multiple health-related quality of life measures in comparison to usual care, with effects that generally exceeded the minimal important difference. No adverse events related to breathing techniques were reported. Conclusion Breathing techniques may improve breathlessness, and consistently improve health-related quality of life, in people with serious respiratory illness. These findings support the use of breathing exercises in the care of people with serious respiratory illness. Full Article
ser Opioids for the palliation of symptoms in people with serious respiratory illness: a systematic review and meta-analysis By err.ersjournals.com Published On :: 2024-10-09T00:15:15-07:00 Background People living with serious respiratory illness experience a high burden of distressing symptoms. Although opioids are prescribed for symptom management, they generate adverse events, and their benefits are unclear. Methods We examined the efficacy and safety of opioids for symptom management in people with serious respiratory illness. Embase, MEDLINE and the Cochrane Central Register of Controlled Trials were searched up to 11 July 2022. Reports of randomised controlled trials administering opioids to treat symptoms in people with serious respiratory illness were included. Key exclusion criteria included <80% of participants having a nonmalignant lung disease. Data were extracted regarding study characteristics, outcomes of breathlessness, cough, health-related quality of life (HRQoL) and adverse events. Treatment effects were pooled using a generic inverse variance model with random effects. Risk of bias was assessed using the Cochrane Risk of Bias tool version 1. Results Out of 17 included trials, six were laboratory-based exercise trials (n=70), 10 were home studies measuring breathlessness in daily life (n=788) and one (n=18) was conducted in both settings. Overall certainty of evidence was "very low" to "low". Opioids reduced breathlessness intensity during laboratory exercise testing (standardised mean difference (SMD) –0.37, 95% CI –0.67– –0.07), but not breathlessness measured in daily life (SMD –0.10, 95% CI –0.64–0.44). No effects on HRQoL (SMD –0.42, 95% CI –0.98–0.13) or cough (SMD –1.42, 95% CI –3.99–1.16) were detected. In at-home studies, opioids led to increased frequency of nausea/vomiting (OR 3.32, 95% CI 1.70–6.51), constipation (OR 3.08, 95% CI 1.69–5.61) and drowsiness (OR 1.37, 95% CI 1.01–1.86), with serious adverse events including hospitalisation and death identified. Conclusions Opioids improved exertional breathlessness in laboratory exercise studies, but did not improve breathlessness, cough or HRQoL measured in daily life at home. There were significant adverse events, which may outweigh any benefits. Full Article
ser Prevalence of Dental Caries and Utilization of Dental Services among WIC-participating Children: A scoping review By jdh.adha.org Published On :: 2024-10-15T09:18:41-07:00 Purpose Low-income children experience disproportionately high rates of dental caries and challenges in accessing dental care compared to their higher-income peers. The purpose of this scoping review was to examine the prevalence of dental caries and dental service utilization among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) enrolled children.Methods The literature search and review were conducted between September 2023 and February 2024. The review followed the PRISMA-ScR reporting guidelines and included three databases: PubMed, CINAHL, and Dentistry & Oral Sciences Source. The study focused on children aged one to five participating in WIC within the United States (US) and aimed to determine the prevalence of dental service utilization and dental caries in the targeted population.Results This review includes twelve articles that are quantitative observational studies conducted from February 2001 to February 2023. Most of the studies were conducted in WIC programs in the Southern and Midwest regions of the US. Dental caries rates decreased by 61.8% from 2004 to 2016, with the highest prevalence in 2004, and the lowest prevalence in 2016. Dental service utilization among WIC children increased by 56.9% from 1992 to 2020.Conclusion There has been an increase in dental service utilization among WIC-enrolled children, with an overall decrease in dental caries over the last two decades. However, the prevalence of dental caries remains disproportionately high for children enrolled in WIC when compared to non-participants. To develop effective dental interventions for children enrolled in WIC, it is fundamental to identify the unique determinants of dental caries in this population. Full Article
ser Characterizing the Distribution of a Stimulator of Interferon Genes Agonist and Its Metabolites in Mouse Liver by Matrix-Assisted Laser Desorption/Ionization Imaging Mass Spectrometry [Special Section on New and Emerging Areas and Technologies in Drug Met By dmd.aspetjournals.org Published On :: 2024-10-16T09:02:03-07:00 A STING (stimulator of interferon genes) agonist GSK3996915 under investigation in early discovery for hepatitis B was orally dosed to a mouse model for understanding the parent drug distribution in liver, the target organ. Matrix-assisted laser desorption/ionization (MALDI) imaging mass spectrometry (IMS) was used to quantify the distribution of GSK3996915 in liver collected from mice administered a single oral dose at 90 mg/kg. GSK3996915 was detected with a zonal distribution localized in the portal triad and highly concentrated in the main bile ducts, indicating clearance through biliary excretion. High spatial resolution imaging showed the distribution of the parent drug localized to the cellular populations in the sinusoids, including the Kupffer cells. Additionally, a series of drug-related metabolites were observed to be localized in the central zones of the liver. These results exemplify the potential of utilizing MALDI IMS for measuring not only quantitative drug distribution and target exposure but also drug metabolism and elimination in a single suite of experiments. SIGNIFICANCE STATEMENT An integrated imaging approach utilizing matrix-assisted laser desorption/ionization imaging mass spectrometry (MALDI IMS) complemented with immunohistochemistry (IHC) and histology was used to address the question of target exposure at the cellular level. Localized quantification of the parent drug in the target organ and identification of potential metabolites in the context of tissue histology were also achieved in one experimental suite to support characterization of pharmacokinetic properties of the drug in the early discovery stage.: Full Article
ser Maturity Assessment of the Health Information System Using Stages of Continuous Improvement Methodology: Results From Serbia By ghspjournal.org Published On :: 2024-10-29T12:28:39-07:00 ABSTRACTIntroduction:Since the health information system (HIS) in public health care services in Serbia was introduced in 2009, it has gradually expanded. However, it is unclear how well the HIS components have developed and the whole system’s stage of maturity.Method:In June–September 2021, a maturity assessment of the Serbian HIS was conducted for the first time using the HIS Stages of Continuous Improvement (SOCI) toolkit. The toolkit measures HIS status across 5 HIS domains: leadership and governance, management and workforce, information and communication technology (ICT), standards and interoperability, and data quality and use. The domains were further divided into 13 components and 39 subcomponents whose maturity stage was assessed on a 5-point Likert scale, indicating the level of development: (1) emerging/ad hoc; (2) repeatable; (3) defined; (4) managed; and (5) optimized. The toolkit was applied in a working group of 32 professionals and experts who were engaged in developing the new national eHealth strategy and action plan.Results:The overall maturity score of the Serbian HIS was 1.6, which indicates a low level. The highest baseline score (2) was given to the standards and interoperability domain, and the lowest (1.1) was given to ICT infrastructure. The remaining 3 domains (leadership and governance, Management and Workforce, and Data Quality and Use) were similarly rated (1.7, 1.7, and 1.6, respectively).Conclusion:A baseline assessment of the maturity level of Serbian HIS indicates that the majority of components are between the emerging/ad hoc stage and repeatable, which represent isolated, ad hoc efforts, with some basic processes in place and existing and accessible policies. This exercise provided an opportunity to address identified weaknesses in the upcoming national eHealth strategy. Full Article