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Sernsudin Masic, S. Huseinbegović, S. Smaka, L. Buljubasic

This paper describes the transient performance and voltage regulation of a stand-alone self-excited induction generator (SEIG). All characteristics are calculated with a ftux-based mathematical model of the induction machine in the stationary reference frame appropriate for the stand-alone SEIG. The generator model and the control system model are developed using Matlab/Simulink. A presented generator model takes into account significant effects of magnetic saturation on the SEIG performance. The simulation was performed by loading the SEIG with a variable resistive load. Some of the computed characteristics are compared with experimental results. Both uncontrolled and controlled response of the SEIG to load variations were analyzed. It is shown that voltage variations can be reduced by using voltage source inverter and terminal voltage controller.

Lejla Kadric, S. Zylla, M. Nauck, H. Völzke, N. Friedrich, A. Hannemann

Chemerin is an adipokine associated with parameters of inflammation and the metabolic syndrome. Small observational studies suggested that high circulating chemerin levels are also related to bone erosion. We aimed to determine whether plasma chemerin levels are related to bone quality in the general population and to investigate the influence of body mass index (BMI) on that relation. For our analyses, we obtained data from 3583 adults who participated in the population-based Study of Health in Pomerania-Trend. The participants were divided into three groups according to their BMI: lean (<25 kg/m2), overweight (25 to 30 kg/m2), and obese (≥30 kg/m2). Chemerin concentrations were determined in EDTA plasma. Bone quality was assessed using quantitative ultrasound at the heel. Broadband ultrasound attenuation (BUA), speed of sound (SOS), stiffness index, and osteoporotic fracture risk were derived from this measurement. Sex- and BMI-specific linear regression models revealed inverse associations between chemerin levels and BUA in obese men. In obese women, inverse relations between chemerin levels and SOS or stiffness index were found. Logistic regression models revealed positive associations between chemerin levels and osteoporotic fracture risk. In lean or overweight subjects, no statistically significant associations were found. Our sex- and BMI-specific analyses showed that inverse associations between chemerin levels and bone quality are restricted to obese men and women. The observed association may be due to a chemerin-induced negative affect on bone metabolism, possibly due to abrogation of osteoblastogenesis or stimulation of adipogenesis.

Emina Kurta, Zivorad Kovacevic, Lejla Gurbeta, A. Badnjević

This paper presents an overview of a study in which the immunity and susceptibility of life-supporting medical equipment was evaluated by exposing the equipment to electromagnetic interference (EMI). Electromagnetic interference, in the past, has been proven to influence the activity and reliability of certain medical devices. Since there has been dramatic increase in the use of cellular phones, these electromagnetic emitting devices have become part of the environment of medical devices. In the present paper, the influence of cellular phones at various distances and proportions on a wide range of medical devices were studied. In total 136 devices were tested after being exposed to cellular phones working in different operating modes. Testing was performed in Healthcare institutions of Bosnia and Herzegovina. Out of all 136 devices, a significant interference was detected in only one of the various defibrillators tested. Other EMI encountered in two electrocardiograms, during the tests, were negligible which proves that current medical devices are designed to operate more safely, with higher immunity and lower susceptibility. The improved designs of medical devices are results of strict electromagnetic compatibility standards to which the devices must comply.

Alma Jakupović, Zivorad Kovacevic, Lejla Gurbeta, A. Badnjević

Nanotechnology has shown its great potential in different fields of science such as medicine and pharmacy. This paper presents a review on artificial neural networks used in nanotechnology based on information gathered from different research. It is important to understand applications of artificial neural networks so that they can be used even more efficiently in future applications. Research papers summarized and compared here show different results in two fields of science. Artificial neural networks were made and proven to be useful in diagnostics and tracing diseases. The pharmaceutical industry has also shown to be a good candidate for the development of ANNs on the nanotechnology level. Regression analysis was used as a statistical method for presenting the best results from both fields observed. Root mean square error and mean error were calculated to measure the differences between values predicted by a model and the values actually observed from the environment that was being modelled. Based on individual results, each of the ANNs made were accurate enough to be considered as a diagnostic tool in fields of medicine and pharmacy. Performance is greater than 90% 10 out of 12 times, which is viewed in this paper. The multilayer perceptron ANN is mostly used. Based on the latest results, in upcoming years, one can expect better understanding and more research in the field of ANN applications in nanotechnology.

N. S. Bajramovic, M. Kulić, S. Sokolovic, N. Naser, E. Hodžić, L. Brigic, M. Halilčević

Objective: The aim of this study was to evaluate corelation of serum level of NGAL to severity of hypertension and diastolic disfunction in patients with ST- segment elevation myocardial infarction treated with fibrinolytic therapy. Design and method: We included 54 consecutive ST-segment elevation myocardial infarction patients treated with fibrinolytic therapy (alteplase). The median follow-up time was 6 days (interquartile range, 5 to 7 days). Blood samples were drawn immediately after admission prior to fibrinolytic administration. The endpoints were mean systolic and diastolic pressure (continuously monitored) and mean E/A ratio as a measure of diastolic function. Results: Patients with high NGAL (above 134,05 &mgr;g/l; 75th percentile) had significantly higher mean systolic and mean diastolic blood pressure compared to patients with low NGAL (under 134,05 &mgr;g/l; 75th percentile), p = 0,001 and p = 0,003; respectively. Patients with high NGAL (above 134,05 &mgr;g/l; 75th percentile) had significantly lower E/A ratio compared to patients with low NGAL (under 134,05 &mgr;g/l; 75th percentile), p = 0,004. Conclusions: High NGAL significantly corelates with severity of hypertension and diastolic dysfunction in patients with acute STEMI.

Majla Cibo, Lejla Brigić, Sanela Tukulija, N. Kukavica, A. Iglica, M. Tirić-Čampara

Introduction: The dominant global public health challenge are non-communicable diseases. According to World Health Organization (WHO) data. The fifth leading causes of death in FB&H are diseases of the heart and coronary arteries: stroke, acute myocardial infarction, cardiac arrest, cardiomyopathy and essential hypertension. The prevention of these diseases has great importance in improving health in B&H. Objective: The aim of this study is in estimation of one-year survival and left heart systolic function after the treatment. After the data collection and evidence of their statistical value, the results of the research point to the profile of patients with a LAD disease in one-vessel coronary artery disease that should be subjected to PCI DES LAD and PCI BMS LAD, respectively, or creating guidelines for a better and more effective LAD treatment. Material and methods: The study was performed as retrospective/ prospective, clinically controlled for a period of three years. In this study was included 60 patients, which was followed in 12 months period. With the PCI BMS method was treated 63.3% and 36.7% of subjects were treated with the PCI DES in LAD. Conclusion: The number of complications in patients with one-vessel LAD coronary heart disease, treated with PCI DES and PCI BMS was statistically significant. One possible complication (4 patients) is due to the spread of the disease to other blood vessels. Due to possible complications in the treated or LAD with repeated stenosis, the complication in terms of restenosis of the previously placed stent in 75% are with BM stents justifying the use of drug eluting stent, while the progression of disease in patients (2 patients) indicates the need for detection and prevention of risk factors.

Introduction: Breast cancer and its treatment change the perception of mastectomized women of their physical appearance, which leads to depression and has a negative effect on the overall quality of life of those woman. Aim: We wanted to assess the quality of life and the degree of depression of patients suffering from breast cancer, on the basis of a standardised questionnaire to assess the patients’ quality of life (QLQ-C-30 BR-23), and the degree of depression using Beck’s Depression Inventory (BDI, II). Materials and Methods: The research was conducted on a sample of 160 patients, who were surveyed before and after the surgical procedure. The inclusion criteria for the research were: patients suffering from breast cancer aged between 18 and 70 years, cancer diagnosed by FNB or CORE biopsy. The patients were divided into two groups: patients having breast-conserving surgery and patients having radical surgical treatment. Results: There were 47 or 39.37% patients who underwent breast-conserving surgery and 113 or 70.62% patients who underwent radical surgery. The results of the survey conducted show that there was no difference in the quality of life of patients before and after surgery, regardless of the type of surgical procedure undertaken. However, there was a significant different in the degree of depression between patients subjected to different surgical procedures, where the patients surveyed post-surgery after radical mastectomy showed a higher degree of depression than the patients surveyed after breast-conserving surgery. Conclusion: There is no difference in the quality of life before and after surgery, regardless of the type of operation. However, there is a significant difference in the degree of depression in patients after radical mastectomy, who showed a higher degree of depression than the surveyed patients who underwent breast-conserving surgery.

Fuad Brkić, Š. Umihanić, Hasan Altumbabić, A. Ramaš, Almir Salkić, Šefika Umihanić, Majda Mujić, Lejla Softic et al.

Aim: To analyze the rate of mortality in children with foreign body aspiration (FBA). Methods: We outlined a retrospective review of hospital data of patients between 1971 and 2013. FBA occurring in children 0 year to 14 years was considered for inclusion (patient ages ranged from 0.6 to 15 years, with a median age of 2.2 years). The gender structure within the investigated cases was 75.8% males and 24.2% females. During the study period, 772 patients undergoing rigid bronchoscopy with the diagnosis of FBA were included. Deaths on arrival were excluded. Results: Total rate of mortality (for whole investigated period) was 0.785. For last fifteen years of the investigated period the rate of mortality was zero. Conclusion: For prevention of foreign body aspiration in children and its mortality should be taken two strategies: non-medical (alterations in product design and public education campaigns) and medical (education of medical staff and improvement of equipment).

Z. Dostović, D. Smajlović, O. Ibrahimagić, Adnan Dostović

Introduction: Small number of studies have evaluated the mortality and the degree of functional disability of post-stroke delirium, and our aim was to determine that. Patients and Methods: Comprehensive neuropsychological assessments were performed within the first week of stroke onset, at hospital discharge, and followed-up for 3, 6 and 12 months after stroke. We used diagnostic tools such as Glasgow Coma Scale, Delirium Rating Scale, National Institutes of Health Stroke Scale and Mini-Mental State. Results: Delirious patients had a significantly higher mortality (p = 0.0005). As opposed to the type of stroke mortality was higher after ischemic (p = 0.0005). The patients without delirium had significantly better cumulative survival during the first year after stroke (p = 0.0005). Delirious patients aged ≥65 years had a significantly lower cumulative survival during the first year after stroke (p = 0.0005). In relation to the type of stroke delirious patients with ischemic had a significantly lower cumulative survival during the first year after stroke (p = 0.0005). Delirious patients had a greater degree of functional impairment at discharge (p = 0.01), three (p = 0.01), six months (p = 0.01) and one year (p = 0.01) after stroke. Conclusion: Delirious patients have a significantly higher mortality, lower cumulative survival and a greater degree of functional disability in the first year after stroke.

A. Lukac, N. Sulovic, Sonja Smiljic, A. Ilić, Orhan Saban

Introduction/ Goals: The aim of our study was to point out the importance of the risk factors associated with cervical cancer in an asymptomatic population. Methodology: The study included 860 patients in the period from January 2017 to January 2018, which covered more than 80% of the targeted population in this municipality over the one year study, according to the National Program for Cervical Cancer Prevention in Montenegro. Results: The incidence of PAP III results was statistically significantly higher in women between 40 and 45 years of age compared to other age groups (p< 0.001). PAP III was statistically significant high in subjects who had vaginal delivery (p<0.001), and was statistically significantly more frequent in women with more than two children (p = 0.011), while all the subjects with positive PAP results III had children. PAP III results were statistically significantly higher in subjects who had sexual intercourse before the age of 18 (p< 0.001), and were statistically significantly more frequent in subjects who were on oral contraceptives (p< 0.001). PAP III test results also show a significant difference related to cigarette consumption (p< 0.001). PAP III results were significantly more frequent in subjects with grade III vaginal cleanliness compared to grade II vaginal cleanliness (p<0.001). Conclusion: The number of patients with cervical cancer in Montenegro increased in the period from June 2016 to June 2017, compared to previous years, even though the National Program for Cervical Cancer Prevention that aimed to reduce the number of such patients has been in use in Montenegro since 2011.

Introduction: The small intestine is a challenging organ for clinical and radiological evaluation, and by introducing imaging radiological techniques, not significantly disturbing the comfort and safety of patients, it attempts to obtain adequate diagnosis and valuable information. Aim: The research was conducted with the aim of checking the comparability and potential of diagnostic modality of ultrasound and dynamic contrast enhanced MR Enterography (DCE-MR) in patients with Crohn’s disease. Methods: 55 patients were examined prospectively, and ultrasound examination of the abdomen was performed for all patients before the MR enterography. They were subsequently endoscopically examined or treated surgically, which was taken as a reference. Four parameters characterizing the disease itself were analyzed: bowel wall thickening, presence of abscess, fistula and lymphadenopathy. Results: Comparing the accuracy of the results of ultrasound findings and findings of MR enterography, it was found that there is a significant difference in the results obtained. The study found that the sensitivity for MR enterography for bowel wall thickening was 97.8%, and the specificity was 70%, while the sensitivity for ultrasound for the bowel wall thickening was 51% and the specificity was 100%. In the diagnosis of abscess, there was no significant difference between the results obtained by ultrasound and magnetic resonance imaging (MRI) findings, while in fistula and lymphadenopathy there was a significant difference. Conclusion: Conventional ultrasound is a good orientation method in the initial evaluation of patients with Crohn’s disease, while contrast enhanced MR enterography provides an excellent assessment for disease activity as well as the complications that accompany it.

S. Gurda, N. Bašić, D. Sokolović, J. Knežević, S. Hajdarević, Ševal Delić

630*8:620.95(497.6 Kakanj) 620.9:582.632.2(497.6 Kakanj) Biomass has a huge renewable energy source potential, forest biomass in particular. Forest biomass effectively includes aboveground parts of tree trunk including: stem, treetop with leaves/needles, bark, seeds, and cones. Although it is biomass, stump is not used in natural forests. Beech (Fagus sylvatica L.) is a dominant tree in the forests of Bosnia and Herzegovina and it is important raw material used in wood assortment production. Once beech assortment is cut down, processing and hauled there is a significant quantity of unused wood biomass which can be effectively used as source of renewable energy. This is way the objective of this paper was to determine overall quantity of beech tree biomass in Compartment 92, Subcompartment „a”, MU „Žuća-Ribnica“, assess quantity of forest biomass (usable timber left after felling and branches - biomass above 7 cm), determine quantity of forest biomass (wood biomass from 3 to 7 cm), and also quantity of bark. The research included 60 beech trees. Volume of tree trunk and trunk bark was determined by sectioning method and branch mass was determined by weighting. Adjusted values of tree trunk and bark volumes were converted in dry matter mass using information provided by. The research findings showed that 73% (1,605.24 tons) of beech wood biomass is used in Compartment 92, Subcompartment „a”, MU „Žuća-Ribnica“, while 27% (582.59 tons) remain unused in the forest. This altogether indicates that a large portion of beech biomass is not used as energy source.

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