Introduction: Breast augmentation is one of the most frequently performed aesthetic surgical procedures in the world. The most important preoperative decisions which influence the final appearance of the augmented breast are the breast implant pocket choice and selection of the most appropriate implant. Described pocket locations are subglandular, subfascial, partially retropectoral, totally submuscular and dual plane. Aim: We have introduced a new method of pocket forming for implant placement, which is combination of Tebbett’s dual-plane 2 or 3 and Graf’s subfascial. We named it as dual plane subfascial. Methods: Between January 2016 and April 2018, total of 27 patients were operated using dual plane subfascial breast augmentation. The pinch test in the medial pole less than 2,0 cm and in upper pole less than 2,5 cm are indications for this technique. In our modification, in primary cases a dissected flap in front of muscle is fasciocutaneous (not cutaneous as in Tebbett’s technique). It will be finally located caudally of pectoral muscle and in front of the lower pole of implant. Fasciocutaneous flap in primary cases and two independent levels of soft tissue coverage (fascial and cutaneous) in secondary cases (subglandular to dual plane subfascial conversion) in front of the lower pole of implants provide better coverage than cutaneous flap alone. Results: Hematoma and infection did not occur in any patient in our study. A capsular contracture grade I/II without the need for reoperation occurred in two patients. In one patient with secondary augmentation minimal bottoming out was noticed (before reoperation patient had significant bottoming out deformity). Minimal palpability of implants is recorded in three patients. Conclusion: Dual plane subfascial is a good option in primary breast augmentation with a well set indication especially in the breasts with the upper pinch test less than 25 mm and medial pinch test less than 20 mm. The idea can be followed even in secondary breast augmentation (subglandular to dual plane subfascial conversion). There is additional soft tissue in front of the implant which led to a less implant palpability, especially in thin patient with smaller amount of subcutaneous fat.
Objective The association between the neck circumference (NC) and components of metabolic syndrome in different countries and ethnic groups has been insufficiently investigated. The aim of the present study was to assess the impact of gender on NC values and to determine whether NC correlates with standard anthropometric measures and blood pressure values in Bosnian young adults. Materials and Methods Study participants were recruited by the snowball method. The NC, body mass index (BMI), waist circumference (WC), systolic blood pressure (SBP), and diastolic blood pressure (DBP) were measured by trained personnel. Differences between the means were assessed by a Student's t-test. Coefficients of correlation were determined by Pearson's test. Results In young men (n=49), the value of NC was 37.71±1.79 cm, while in young women, (n=62) the value of NC was 32.23±1.83 cm (p<0.001). A significant positive correlation in both genders between the NC and BMI (r=0.70, p<0.001 in men; r=0.53,p<0.001 in women), and between the NC and WC (r=0.48, p<0.001 in men; r=0.38, p=0.01 in women), was found. A significant correlation between the NC and SBP (r=0.08, p=0.57), and DBP (r=0.20, p=0.17), in young men was not determined. Likewise, in young women, a significant correlation between the NC and SBP (r=0.08, p=0.54), and DBP (r=0.09, p=0.49), was not observed. Conclusion Our results suggest that the NC measurement can be used as a valid method in obesity assessment in young adults. A lack of association between the NC and blood pressure requires additional investigation.
This paper, on the basis of experimental research of the system in exploitation, identifies the main disadvantages of the existing troubleshooting scenarios for IPTV over xDSL. Also, this paper shows how the process of troubleshooting can be made more efficient in practice, with the already existing test solutions and other possibilities of test devices and xDSL transceivers.
Introduction: Noise represent an unwanted sound that endangers human health in multiple manners and in work setting causes reduction of productivity on one side, and increased waste on the other. Noise pollution occurs when the ear is exposed to the volume of sound that is disturbing, stressful or directly damaging hearing, but also acting on the organism as a whole. Aim: The aim of the article is to examine the vulnerability of workers working on the „press“ machine, and to carry out an analysis and examine the press operator workplace, then perform the noise spread measurement in the press operator work area and compare the current measurements with the permissible levels and analyze the time period of worker exposure, as well as presentation of the effects of noise on productivity and workers health. The aim of the article also includes the proposal for decrease of noise pollution. Methods: A noise analysis at the workplace of workers working on a „press“ machine was performed, which is exposed to a high impulse noise due to which the quality and quantity of production are reduced. For the purpose of calculating the noise level for one working day at the press operator site 1, 2 and 3, it is necessary to analyze the noise level in time. Operators spend most of their working hours at stations 1 and 3 where the measured noise level is Lm1 = 94.7 dB is taken, or at position 3, Lm3 = 97.2 dB. The measured noise level at these locations without the operation of the press is Lm1 = 80.1 dB, or at station 3 is Lm3 = 80.1 dB. Results: It was found that these operators working on the machine in question were exposed to a noise over the limit for more than three years. Their health problems that arise as a result of noise exposure are documented in their health charts. In order to achieve uninterrupted work at the press machine, during the eight hours shift, a noise correction is required to allow the equivalent sound level to fall within one day to the permissible 85 dB. In this regard, we consider the fact that we have known that the press produces a sound level of 110 dB, and that there is a reverberation (reflecting) sound. Given the technical characteristics of the plant, the reduction of the sound intensity of the source itself is not possible, so the suggestions of the technical solution will be based on reduced reflected sounds and to prevent the spread of direct sound to the operator. Conclusion: Workers are exposed to permanent noise during a working day, which produces a number of consequences for the health of the worker, but also the employer and the community. The imperative of the employer is to reduce the number of rejects, increase profitability and to have a positive impact on the health of the individual.
Rudolf Ludwig Carl Virchow (1821-1902) was a German doctor, anthropologist, pathologist, prehistorian, biologist, writer, editor, and politician, known for his advancement of public health (1-4). He is known as “the father of modern pathology” because his work helped to discredit humourism, bringing more science to medicine (1). He is also known as the founder of Social medicine and Veterinary pathology, and to his colleagues, the “Pope of medicine” (2).
Eugene Ackerman (1920-2014), PhD, FACMI, Emeritus Professor of Laboratory Medicine and Pathology at the University of Minnesota (1-4). He studied Physics at Swarthmore College and Brown University, where he met and married Dorothy Hopkirk in 1943. His studies were interrupted by serving as a Conscientious Objector during World War II. After completion of a doctoral degree in Biophysics at the University of Wisconsin-Madison, he joined the Physics faculty at Pennsylvania State University, with several sabbaticals at the University of Pennsylvania in the Biophysics laboratory of Dr. Britton Chance. In 1960 he became Associate Professor of Biophysics at Mayo Clinic, working on mathematical models of physiological systems. He was instrumental in obtaining one of the first National Institutes of Health (NIH) resource grants for Biomedical Computing Facilities, followed by many research grants modeling ultrasonic behaviors of cells, enzyme kinetics, blood glucose regulation, and patterns of infectious disease epidemics (2). As adjunct Professor of Biophysics and Computer Science at the University of Minnesota, he developed a Mayo satellite program awarding a MS degree in Biophysics. In 1967 he left Mayo Clinic for the University of Minnesota, becoming Hill Family Foundation (now Northwest Area Foundation) Professor of Biomedical Computing and Professor of Biometry. A NIH grant to establish a Biomedical Computing Facility had been awarded to the University of Minnesota in 1965, and Eugene Ackerman became its director in 1968 after the illness of its first director, Dr. Eugene Johnson. With the establishment of the Academic Health Center in 1969, the entire biomedical computing program became the Division of Health Computer Sciences in the Medical School’s Department of Laboratory Medicine. Charged with developing core and collaborative research, training, dissemination and a service unit, the growing cadre of informatics faculty, fellows and graduate students helped develop departmental computer systems in the clinical laboratories, surgery, electrocardiography, pulmonary function, and nuclear medicine (4). Eugene was a superlative scientific educator and writer. One of the first and longest funded National Library of Medicine training grants in health computing was awarded to the University of Minnesota, which eventually trained over a hundred fellows from the health sciences, including ones from medicine, nursing, pharmacy, dentistry and public health. He personally directed the graduate theses of nearly a hundred students and postdoctoral fellows. Over his long career, he published hundreds of journal articles, conference abThe Most Influential Scientists in the Development of Medical Informatics (24): Eugene Ackerman (19202014)
Jules Rene Guerin (Boussu, Belgium, 1801–Hyres, 1886) commenced his medical studies at Paris in 1821, obtaining his doctorate at that university in 1826 (1-3). He was early attracted to journalism, and two years later he founded the medical journal Gazette de sante, of which he was both editor and publisher, and for which he also wrote articles.
The purpose of this study was to perform a systematic review and meta-analysis on the effect of contrast training(CT) on vertical jump performance. Thirteen out of 83 studies were included for syst ...
1Travnik General Hospital, Travnik, Bosnia and Herzegovina 2Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina 3Bugojno General Hospital, Bugojno, Bosnia and Herzegovina KeYWORdS: subvalvular aortic stenosis, subaortic membrane, septal myectomy. citAtiON: Cardiol Croat. 2019;14(3-4):80-1. | https://doi.org/10.15836/ccar2019.80 *AddReSS FOR cORReSpONdeNce: Alma Sijamija, J.U. Bolnica Travnik, Kalibunar bb, 72270 Travnik, Bosna and Herzegovina. / Phone: +387-61-780-085 / E-mail: alma.sijamija@hotmail.com ORcid: Alma Sijamija, https://orcid.org/0000-0003-2818-0501 • Nermir Granov, https://orcid.org/0000-0002-6228-6230 Omer Perva, https://orcid.org/0000-0003-2645-1558 • Lejla Granov Aladjuz, https://orcid.org/0000-0003-4737-0183 Berka Begović, https://orcid.org/0000-0003-3746-395X • Nedžad Hadžić, https://orcid.org/0000-0002-7186-7803
*AddReSS FOR cORReSPONdeNce: Zina Lazović, Klinički centar Univerziteta u Sarajevu, Bolnička 25, 71000 Sarajevo, Bosnia and Herzegovina. / Phone: +387-33-298-408 / E-mail: zina.lazovic@gmail.com ORcid: Zina Lazović, https://orcid.org/0000-0002-0285-9631 • Nermir Granov, https://orcid.org/0000-0002-6228-6230 Behija Hukeljić Berberović, https://orcid.org/0000-0001-9583-4523 • Omer Perva, https://orcid.org/0000-0003-2645-1558 Lejla Divović, https://orcid.org/0000-0002-7953-9601
As Yugoslavia fell apart in the 1990s, the Serbs used violence strategically, to achieve permanent divisions between ethnic categories and to thwart future attempts to rebuild trust and normalize interethnic relations. The goal of the violence was to intensify national and religious differences within socialist Yugoslavia’s highly multicultural society. The violence of the war, and the sexual violence in particular, influenced the identity of Bosnian Muslims. It heightened their sense of endangerment and consequently, their feeling of belonging to a persecuted group. This paper analyzes the visual representations of motherhood, violence and victimhood in four films directed by Jasmila Žbanic. It finds inspiration in Žarana Papic’s critical approach to patriarchy and nationalism and Inger Skjelsbaek’s field work among the survivors of sexual violence in Bosnia and Herzegovina. The paper’s main goals are to trace the link between patriarchy, nationalism and the memory of gender-directed violence, and to highlight the transformation of Bosnian Muslim identity within the context of history. Keywords: Bosnia and Herzegovina; genocide; war crimes; sexual violence; patriarchy; victimhood; motherhood DOI: 10.14712/23363231.2019.12 © 2019 The Authors. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License , which permits use, distribution and reproduction in any medium, provided the original author and source are credited, the use is non-commercial and no modifications or adaptations are made.
Micronutrients are trace elements required in very small amounts in the diet. Metals such as copper (Cu), iron (Fe), and zinc (Zn) are essential nutrients that are required for various biochemical and physiological functions. Cadmium, which is considered as systemic toxicant that is known to induce multiple organ damage, even at lower levels of exposure, has been also determined. Therefore, in this paper the concentrations of Cu, Fe, Zn and Cd have been determined in the white quinoa and amaranth by ICP-MS analysis. Concentrations of all examined metals were higher in the amaranth. This research has shown that amaranth and white quinoa could be good sources of essential micronutrients. The concentration of cadmium in amaranth was very close to maximum permitted concentration in food.
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