Gross hematuria caused by rupture of an artery in the urinary tract is a rare but potentially fatal condition. Iliac artery aneurysms, pelvic surgery with radiation, vascular reconstructive surgery, surgery for stenosis of the ureteropelvic junction, and transplantation are reported to be associated with this condition. In the vascular reconstructive surgery group, the most common etiology is rupture of the degenerated artery or synthetic graft in the ureter. We present a case of rupture of the small anastomotic pseudoaneurysm at the proximal anastomosis of a right iliofemoral autogenous vein extra-anatomic graft in the urinary bladder. To our knowledge, this is the first report of a rupture of an autogenous vein graft in the urinary bladder. Our patient, a 24-year-old Albanian farmer, was admitted to the emergency department in severe hemorrhagic shock induced by exsanguinating hematuria. He underwent immediate surgery, during which direct sutures to the bladder were placed and the saphenous graft was replaced with a synthetic one. The patient recovered completely, was free of hematuria, and showed no signs of pathological communication between the urinary and arterial tracts on postoperative cystoscopy and computed tomographic angiography during 2 years of follow-up. The incidence of artery-to-urinary tract fistulas is growing due to the increasing use of urologic and vascular surgery, pelvic oncologic surgery, and radiation therapy. In addition to fistulas involving a degenerated artery and ureter or synthetic grafts and ureter, they can also involve an autogenous vein graft and the urinary bladder. In our patient, the fistula was a result of erosion of the bladder from a pseudoaneurysm at the proximal anastomosis of an autogenous vein iliofemoral bypass in an extra-anatomic position. Open surgery remains the best treatment option, although there is increasing evidence of successful endovascular treatment.
Polycrystalline advanced ceramics are synthetic products produced by sintering together selected ceramics grains in a metal matrix serving as a binder. In order to be able to propose their optimization, achieving high performance cutting and leading to reduced operating costs and improved working environment, relevant fracture mechanisms involved in their failure need to be determined. In this work, experimental results of plane strain fracture toughness obtained earlier on single-edge-V-notched-beam specimens were supported with microscopy analysis. These findings establish a clear connection between the fracture toughness results and the fracture mechanisms visible on and beneath the fracture surfaces, revealing adiabatic conditions that occur at the crack tip during fracture.
System of Systems (SoS) represent a set of independent Constituent Systems (CS) that collaborate in order to provide functionalities that they are unable to achieve independently. We consider SoS as a set of connected services that needs to be adequately protected. The integration of these independent, evolutionary and distributed systems, intensifies SoS complexity and emphasizes the behavior uncertainty, which makes an SoS security analysis a critical challenge. One of the major priorities when designing SoS, is to analyze the unknown dependencies among CS services and vulnerabilities leading to potential cyberattacks. The aim of this work is to investigate how Software Engineering approaches could be leveraged to analyze the cyberattack propagation problem within an SoS. Such analysis is essential for an efficient SoS risk assessment performed early at the SoS design phase and required to protect the SoS from possibly high impact attacks affecting its safety and security. In order to achieve our objective, we present a model-driven analysis approach, based on Bayesian Networks, a sensitivity analysis and Common Vulnerability Scoring System (CVSS) with aim to discover potential cyberattacks propagation and estimate the probability of a security failure and its impact on SoS services. We illustrate this approach in an autonomous quarry example.
Abstract Power systems around the world have undergone a number of important organizational, structural and technological changes over the past few decades; they are a direct consequence of the electricity market liberalization and transition from conventional energy conversion technologies towards renewable resources. These changes represent many advantages as well as challenges for the Distribution System Operator (DSO). The aim of this paper is to review the most important principles, objectives and technical criteria used in planning the development of the electricity distribution network. Presented principles can be used as basic guidelines when developing short-term and long-term plans for the construction and reconstruction of power distribution facilities. This paper also presents a methodological approach to the planning and ranking of proposed electricity facilities with an example from practice that is based on the real planning problem in ED Mostar. The basic conclusion of the paper is that the identification of objectives, criteria and the application of an appropriate and unique methodology is of the utmost importance for formulating the framework of the planning process.
Due to the increased popularity of robotic systems and their more frequent application, some companieshave opted to incorporate modular robotic systems in their assortment. The advantages of such systems aregreat flexibility in terms of combining components, relatively easy programmability, a wide range offunctions that can be performed, the availability of components, as well as modularity in terms offunctional and structural connectivity. The disadvantages are reflected by the fact that these systems are notoptimized for a particular application. The precision and accuracy of such systems are substantially lessthan those of the system created exclusively for a particular application. Gaps and dead strokes of movingparts are very influential on the performance of functions and there is relatively little autonomy to suchsystems. The problem of mutual inarticulation of motors was introduced, and a solution was given toovercome these problems. The observations concerning the aforementioned problems have been explainedand the most important features of this approach to robotic systems highlighted.
During smoking, meat products may get contaminated by polycyclic aromatic hydrocarbons (PAH), especially the ones that are smoked in traditional (uncontrolled) conditions. This study aims to evaluate the difference in PAH content in samples of traditional dry cured pork meat products, “Hercegovačka pečenica”, produced in (1) a traditional smokehouse and (2) in industrial chambers. The study revealed that the content of the four priority PAHs (PAH4) in samples produced in a traditional smoking manner highly exceeded (up to 10 times) the maximal limits set for PAHs (12 µg/kg). PAH4 in all samples subjected to industrial smoking procedures was below the limit of quantification. All samples had below-the-limit-of-quantification values for Benzo[a]pyrene. The surface layer of the samples produced in traditional conditions had the highest total content of PAH16. The inner parts of all samples, whether traditional or industrial, had significantly lower PAH16 concentration than the surface layer.
Social distance has been the subject of numerous research papers; the issue of researching social distance toward Roma is especially important. There are several aims of our study. The basic goal of the research is to determine the existence and intensity of social distance towards Roma held by primary school students. The specific goal of the research is to determine the differences in the presence of social distance held by students who often interact with Roma children, as well as those who rarely interact with them. The research sample consisted of 152 participants (71 fourth-grade students and 81 eighth-grade students; 85 boys and 67 girls). The Bogardus’s Scale, modified for children, was used for researching the social distance. Furthermore, the research implied two focus groups for the qualitative data to be obtained. The results showed the existance of social distance toward Roma students. Furthermore, according to this data, the least desirable relationship was sitting in the same school bench with Roma children, whereas the most acceptable relationship was going to the same school with Roma. Moreover, it was established that students having more relationships with Roma had lower social distance toward them as well. Qualitative data analysis shows higher level of negative stereotypes and attitudes toward Roma. It is essential to combine quantitative and qualitative measures for the purpose of getting the unbiased description of social distance toward Roma.
Bottled water sector in B&H becomes more significant economically with media pressure and expectations. This paper aims to determine factors important for the consumers while choosing bottled water products and in that way try to, by comparing the results to the sectors abilities, determine sector’s ability to meet the consumer’s needs. Small research among (97) respondents was carried out, and the results indicate that the sector is unable to meet the needs of the customers, since the trade balance is negative and domestic market share low. Customer profile suggests almost only young consumers, which indicates that for the stronger results further research is needed.
SUMMARY Bone tissue banks are necessary for collection, production, testing, packaging, storage and delivery of bone transplants. Bone tissue bank is a link between the donor and the recipient by which the donation becomes a medium of health improvement for both the donor and the recipient. At the Department of Orthopedics, Mostar University Clinical Hospital, about 200 total hip replacements are performed per year. Most patients undergoing total hip replacement surgery (90%) have been diagnosed with osteoarthritis, and they are suitable donors, having in mind their age and comorbidities. In the same Department, around 50 procedures that require bone transplants are performed per year. A team of highly competent surgeons are working on an intensive process of adaptation oriented to quality improvement and intensification of the activity, both with the goal of meeting the standards of excellence in orthopedic surgery. The presence of a bone tissue bank has a favorable impact on the quality of health care owing to bone transplant availability, as well as on the scientific role of a highly specialized institution that examines the properties of bone tissue.
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