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B. Medic, Anesa Jerković Mujkić, Berina Cubara, Adaleta Durmić Pašić, Jasna Kurtović, K. Bajrovic, Elma Omeragić, Mirza Dedić et al.

Objective: Iris species are widely used in pharmaceutical and cosmetic applications owing to their high content of bioactive compounds with anti-inflammatory and antimicrobial properties. This study aimed to investigate the potential antibacterial effect of crude extracts (aqueous, 50% and 80% ethanol) of three Iris species ( I. pumila , while I. reichenbachii and I. illyrica are endemic) from Bosnia and Herzegovina against the multiresistant bacterial strain methicillin-resistant Staphylococcus aureus subsp. aureus ATCC 33591 (MRSA strain). Materials and Methods: The antimicrobial compounds in the crude extracts were identified using High-performance liquid chromatography (HPLC), and their effects on the MRSA strain were tested using agar well diffusion and broth microdilution method. The binding affinities were analysed using molecular docking simulations. Results: We identified bioactive targeted compounds in these extracts, mainly flavonoids named isorhamnetin, hesperidin, quercetin, fisetin, genistein, and kaempferol. Antibacterial assays showed that extracts of all three Iris species inhibited MRSA. The binding affinity analysis showed that isorhamnetin and hesperidin had the highest affinity scores, stronger (isorhamnetin) or the same (hesperidin) as the positive control ceftobiprole. Conclusion: This in vitro and in silico study showed that Iris species represent a valuable source of bioactive compounds that can be used against multidrug-resistant strains such as MRSA. The potential use of these agents in multiple drugs is warranted, and further evaluation for human application is needed.

M. Bečirčić, Samir Delibegović, Adnan Šehić, Fuad Julardžija, Adnan Beganovic, Kenana Ljuca, A. Pandžić, M. Jusufbegović

Background: The development of novel medical imaging technologies and treatment procedures hinges on the availability of accurate and versatile phantoms. This paper presents a cost-effective approach for creating anthropomorphic abdominal phantoms. Methods: This study proposes a cost-effective method using 3D printing and readily available materials (beeswax, plaster, and epoxy resin) to create high-fidelity anthropomorphic abdominal phantoms. The three-dimensionally printed phantoms exhibited X-ray attenuation properties closely matching those of human tissues, with measured Hounsfield unit (HU) values of −115.41 ± 20.29 HU for fat, 65.61 ± 18.06 HU for muscle, and 510 ± 131.2 HU for bone. These values were compared against patient images and a commercially available phantom, and no statistically significant difference was observed in fat tissue simulation (p = 0.428). Differences were observed for muscle and bone tissues, in which the 3D-printed phantom demonstrated higher HU values compared with patient images (p < 0.001). The 3D-printed phantom’s bone simulation was statistically like that of the commercially available phantom (p = 0.063). Conclusion: This method offers a cost-effective, accessible, and customizable alternative for abdominal phantoms. This innovation has the potential to accelerate advancements in abdominal imaging research, leading to improved diagnostic tools and treatment options for patients. These phantoms could be used to develop and test new imaging techniques with high accuracy.

Tatjana Roganović, J. Bojanić, B. Mijovic, Dragan Kasagić, A. Verhaz, Dragana Roganović

<p><strong>Introduction. </strong>Lyme neuroborreliosis (LNB) can manifest during the early and late stages of Lyme disease (LD). The aim of this study is to determine epidemiology and clinical findings in patients with LNB.&nbsp;<br /><strong>Methods.</strong> The research was conducted in Banja Luka at the University Clinical Center of Republic of Srpska (UCC RS) during a four-year period from 10/2017 to 10/2021. The research included 51 patients admitted to the hospital with some neurological symptoms that could lead to the LNB diagnosis. Patients had lumbar puncture with cytochemical analysis of cerebrospinal fluid (CSF), ELISA anti-Borrelia IgM/IgG in serum and CSF, Immunoblot anti-Borrelia IgM/IgG in serum, and other documentation about epidemiology and clinical findings in LNB. &nbsp;<br /><strong>Results.</strong> A statistically significant (p=0.017) higher proportion of female patients was observed. Most patients were between 50 and 60 years old. Most of them were retirees (31.37%), farmers, medical technicians followed with forestry workers, students etc. Most of examinees did not have information on previous tick bite (64.71%). The largest number (72.55%) did not have data on previous skin changes. The largest number of neurological symptoms at admission related to the feeling of tingling and weakness in the extremities, headache, dizziness and some ophthalmological symptoms. Patients also suffered from consciousness and speech disorder, anxiety, paresis n.VII. The largest number of examinees had some neurological symptoms up to three months prior the admission to the hospital. &nbsp;<br /><strong>Conclusion. </strong>Symptoms of LNB can be quite non-specific or possibly even mimic other neurological diseases. Involvement&nbsp;<br />of peripheral nervous system is dominant in adult patients. It is necessary to work on early diagnosis of LD and it is mandatory to report it to the national epidemiological service.&nbsp;</p>

Branislava Ćurčić, Dragana Sokolović, M. Radanović, D. Pavlović, Marija Bjeletić, Djordje Vuković, Dragana Drakul

<p><strong>Introduction. </strong>Test anxiety implies an intense pathological fear in situations of preparing and taking exams which is a significant problem for 15&ndash;70% of medical students. The frequent use of psychoactive substances is recognized as a problem for young people. The aim was to determine the frequency and degree of test anxiety and the association with misuse of psychoactive substances in medical students of the Faculty of Medicine in Foča.<br /><strong>Methods.</strong> The research was conducted according to the principle of a cross-sectional study at the Faculty of Medicine in Foča. Students were offered a custom-made questionnaire containing general and specific questions for test anxiety and use and dependence of psychoactive compounds and social networks. Test anxiety was evaluated by Westside anxiety scale.&nbsp;<br /><strong>Results.</strong> The sample included 145 respondents, 69.7% females and 30.3% males. The results indicate that the degree of test anxiety does not differ in male and female students, but test anxiety is less pronounced in younger students and students with medium academic success. The level of test anxiety was correlated with the rate of psychoactive compound use. Psychoactive substances were used by 50.3% of students, primary for anti-anxiety, than for psychostimulation and for hypnotic effects. The most commonly used classes of psychoactive substances were plant anxiolytics, followed by benzodiazepines, marijuana, alcohol and narcotics/cocaine (18.6%, 12.4%, 12.4%, 8.3%, and 4.8%, respectively).<br /><strong>Conclusion.</strong> A significant number of students reach for anxiolytics and other drugs that can create addiction. Elevated levels of test anxiety are positively correlated with increased consumption of psychoactive compounds. However, the frequency of use of psychoactive compounds surpasses the frequency of altogether moderate, high and extreme test anxiety.</p>

<p><strong>Introduction. </strong>Antibiotic resistance is a major threat to public health globally. The aim was to examine the impact of the COVID-19 pandemic on the distribution and antimicrobial resistance of pathogenic microorganisms isolated from samples&nbsp;<br />obtained during standard hospital care in one hospital center. &nbsp;<br /><strong>Methods.</strong> Data were obtained retrospectively from a database of the hospital microbiology laboratory. Study sample consisted of 3012 samples tested before the pandemic in 2019 and 3130 samples from the pandemic period in 2021.&nbsp;<br /><strong>Results.</strong> There was no statistically significant difference in the occurrence of agents that were resistant to all antibiotics between the observed years, but there was the difference in the occurrence of those agents between departments, with the highest frequency in the intensive care unit and the COVID-19 department (p&lt;0.001). Isolation of Acinetobacter bacteria increased 2.7 times, and Clostridioides difficile 6.4 times during 2021 compared to 2019. Statistically significant differences were registered in resistance to: imipenem, piperacillin-tazobactam, ceftayidime, cefepime, glycopeptides, aminoglycosides, levofloxacin and ciprofloxacin in 2021 compared to 2019.&nbsp;<br /><strong>Conclusion. </strong>Our results suggest possible influence of COVID-19 on antimicrobial resistance and input a need for a new larger study addressing this issue.</p>

Sandra Stojić, Zoltan Nadasdy

Time is a fundamental dimension of our perception and mental construction of reality. It enables resolving changes in our environment without a direct sensory representation of elapsed time. Therefore, the concept of time is inferential by nature, but the units of subjective time that provide meaningful segmentation of the influx of sensory input remain to be determined. In this review, we posit that events are the construal instances of time perception as they provide a reproducible and consistent segmentation of the content. In that light, we discuss the implications of this proposal by looking at “events” and their role in subjective time experience from cultural anthropological and ontogenetic perspectives, as well as their relevance for episodic memory. Furthermore, we discuss the significance of “events” for the two critical aspects of subjective time—duration and order. Because segmentation involves parsing event streams according to causal sequences, we also consider the role of causality in developing the concept of directionality of mental timelines. We offer a fresh perspective on representing past and future events before age 5 by an egocentric bi-directional timeline model before acquiring the allocentric concept of absolute time. Finally, we illustrate how the relationship between events and durations can resolve contradictory experimental results. Although “time” warrants a comprehensive interdisciplinary approach, we focus this review on “time perception”, the experience of time, without attempting to provide an all encompassing overview of the rich philosophical, physical, psychological, cognitive, linguistic, and neurophysiological context.

Mehmet Ali Tibatan, Dzana Katana, Casey M Yin

Non-healing or chronic wounds in extremities that lead to amputations in patients with Type II diabetes (hyperglycemia) are among the most serious and common health problems in the modern world. Over the past decade, more efficient solutions for diabetic ulcers have been developed. Nanofibers and/or composite materials capable of drug delivery, moisture control, and antibacterial effectiveness are increasingly utilized in the formulation of wound dressings, with a particular focus on the biofunctionalization of polymeric and hydrogel materials. Natural products, including plant extracts, honey, antibacterial agents, nanozymes, and metal nanoparticles, are now commonly and effectively implemented to enhance the functionality of wound dressings. Due to the complicated and dysfunctional physiological structure of the chronic wound sites in the extremities of diabetic patients, formulated nanoscaffold or hydrogel components are becoming more intricate and versatile. This study aimed to investigate the development of wound dressing materials over the years while demonstrating their progressively enhanced complexity in effectively targeting, treating, and managing chronic wounds. The mechanisms of action and bio-functionality of wound dressing technologies were elucidated based on findings from 290 studies conducted over the last decade. A notable observation that emerged from these studies is the evolution of wound dressing development technology, which has led to significant advancements in the operational range of smart systems. These include, but are not limited to, self-healing, self-oxygenation, and adaptable mimicry of human tissue.

Zhaohui Su, Bindi Bennet, Ruijie Zhang, Jianlin Jiang, Yifan Liu, Xin Yu, D. McDonnell, S. Šegalo et al.

BACKGROUND Alcohol use and abuse remain prevalent in China, though mounting evidence shows that even drinking in moderation is detrimental to health. While many countries' intake is on the decline, China's alcohol consumption is rising fast and is on the path to overtaking countries like the United States, even on a per capita level. OBJECTIVES This paper aims to analyze the danger of lax enforcement of laws and regulations against alcohol use and abuse and underscores the imperative for effective health interventions to curb problematic alcohol consumption in China. RESULTS Different from their Western counterparts, Chinese drinkers often consume more spirit with a high percentage of alcohol in social settings that encourage the "ganbei culture"-making toasts with alcohol filled to the brim and downed in one go to show respect-which perpetuates excessive drinking at a fast pace. Though the country has various laws and regulations in place to curb problematic alcohol consumption, like workplace drinking, their impacts are dismal. Considering that China has 1.4 billion people, the country's uncurbed alcohol consumption trend could have a detrimental effect on national strategic objectives like "Healthy China 2030" and international ones like the Sustainable Development Goals. To further compound the situation, prevalent campaigns promoted by liquor companies-like alcohol-infused coffee, chocolate, and ice cream-may groom young people to develop alcohol consumption habits, if not addictions, for generations to come. CONCLUSIONS We developed the Framework of 5Vs of China's "Ganbei Culture to shed light on the issue, with the hope that it, along with the overarching insights of this paper, can assist health professionals and policymakers in better guarding and improving public health against the harms of alcohol use and abuse in China and beyond.

Almir Bašić, A. Begovic, N. Goran

This paper presents present an example of the method of selecting an optimal model of fixed access network and compare various well-known access network technology choices in heterogeneous environment, in order to selecting an optimal solution. Architecture scenarios and technologies used for experimenting are P2P (Point to Point)) based on Ethernet, P2MP (Point to MultiPoint) based on GPON (Gigabit Passive Optical Network) technology and FTTB/C (Fibre to The Building/Cabinet) based on VDSL technology. After short reminder of FOAN (Fibre Optics Access Network) architectures, topologies and technologies and brief comparisons of P2P vs. GPON and FTTH (Fibre to The Home) vs. FTTB, the sample areas, which are subject of analysis are described in detail. A comparison of proposed solutions in four chosen areas is shown.

Yigit Kultur, Emre Bal, Mehmed Nuri Tutuncu, Elviz Gasimov, M. Biscevic, Mehmet Tezer

Background/Aim: The primary objective of this study was to conduct comprehensive research and analysis of patient-generated content related to Achilles tendon surgery on the social media platform Instagram. The aim was to gain deeper insights into patients' experiences during the perioperative period, which may contain valuable information pertinent to their condition, information of which the physicians may be unaware. Methods: A search was conducted on the Instagram database, covering a period of 78 months from February 2015 to August 2021. Posts utilizing the hashtags "#achillessurgery" and "#achillesrepair" were included in the analysis. Posts were assessed using a binary scoring system, considering variables such as tone, media format, return to work, rehabilitation or physical therapy, return to sports, images related to the ankle (e.g., scars, stitches, casts, dressings, walking boots), activities of daily living, and pain. Results: A total of 500 posts were reviewed, and a positive tone was observed in 77.8% of these. The average Instagram like ratio for these posts was computed as 9%. Statistical analysis revealed a significant relationship between post content and tone status (P=0.001). Specifically, within the positive tone group, informative content about the disease was comparatively lower and statistically significant when compared to exercise training and patient experience (P=0.001). Additionally, exercise training posts were found to be significantly lower than patient experience posts (P=0.001) within the positive tone group. In contrast, within the negative tone group, patient experience posts were significantly higher compared to informative content and exercise training posts (P=0.001). Moreover, the quantity of informative posts markedly surpassed the number of posts related to exercise training (P=0.001). Conclusion: In the positive tone category, people tended to emphasize personal experiences and participate in posts related to exercise training rather than actively seeking or exchanging information about the disorder. On the other hand, within the negative tone group, individuals were more likely to share adverse experiences, pursue support, and seek a deeper understanding from others. Their priority may also lie in sharing and gaining information specifically about the disorder. Our exploration of the use of social media platforms to delve into patient perspectives on Achilles tendon surgery provides an alternative insight into patients' experiences with the surgical process. By comprehending the content shared by patients on social media, surgeons may gain an improved opportunity to assess and address the surgical experience of their patients more effectively, ultimately contributing to enhanced patient care.

Armin Zunic, E. Sokic, N. Osmic, Isam Vrce, A. Salihbegovic

This paper explores the application of FPGA programmable structures in the field of digital image signal processing (ISP). FPGAs offer high flexibility, speed and parallelism, making them ideal for general digital signal processing (DSP), as well as specific ISP tasks. The paper utilizes standard ISP algorithms such as morphological operations, filtering and edge detection to compare practical implementations of FPGA and CPU-based compute engines. Through illustrative examples and empirical results, we demonstrate the distinct advantages of employing FPGA for these use-cases, and contrast them with traditional CPU approaches, clearly showing FPGA capacity to significantly accelerate execution. The challenges that arise from resource-limited IOT-class hardware configurations are highlighted in the paper, namely resource optimization, memory management and maximal frequency.

This paper introduces twisting sliding mode control method (TWSMC) to track 3D trajectories of a quadrotor unmanned aerial vehicle (UAV) exposed to bounded disturbances and perturbations. The key idea behind TWSMC is to introduce a nonlinear twisting term into the sliding surface design, which enables the system to switch between different sliding modes (SMs) smoothly, thereby reducing the chattering phenomenon and improving control performance. Moreover, a high-gain adaptation (HGA) algorithm is adopted in the TWSMC scheme to additionally attenuate the chattering effect, where the switching control gain increases during the convergent phase and decreases in the sliding phase. Through the comprehensive simulation study, it is shown that the proposed approach exhibits improved robustness and performance in tracking a reference under disturbances and perturbations.

This paper presents the development and implementation of a flexible industrial machine model for automated visual inspection, called ETFCam, designed to improve the learning outcomes of electrical engineering students in the field of machine vision and robotics. Unlike prefabricated didactic models, which are typically “closed” systems with a predefined set of experiments, custom didactic systems for teaching and training built from scratch tend to be more flexible and provide a deeper insight in engineering, machine design and planning, while being more cost-effective. The proposed system is based on a 3DOF stepper motor-based manipulator, a DC motor driven conveyor, a pneumatic actuated gripper and a machine vision system. The paper discusses several applications of such a system in an educational environment, with a special focus on machine vision applications. Due to the fact that the system is versatile, open, modular, and easy to upgrade, it has unlimited potential and possibilities for further development. In addition, it provides students with a perfect testbed for learning new engineering skills in many areas such as schematic drawing and understanding, PLC based control, sensing, and machine vision.

E. Sokic, Isam Vrce, Armin Zunic, N. Osmic, A. Salihbegovic

The paper presents an automated method for solving traditional single side 2D jigsaw puzzles, focusing solely on shape features. Termed as semi-apictorial puzzles, our approach utilizes pictorial content solely for image segmentation, not for puzzle matching. Through enhancements in background separation, corner extraction, and feature matching, our method simplifies and accelerates puzzle reconstruction. A key contribution is the introduction of an edge matching technique that employs approximate triangles to evaluate a possible match, which notably improves computational efficiency and reduces algorithm complexity. Experimental results demonstrate that the proposed method outperforms existing solutions, enabling the handling of a larger puzzles within a reasonable timeframe.

This paper focuses on the design and implementation of a discrete digital PID (Proportional - Integral - Derivative) controller utilizing an FPGA (Field Programmable Gate Arrays) platform, which inherently supports parallel implementation of algorithms. Typically, cost-effective FPGA boards lacks peripherals, such as analog inputs and outputs, so they need to be added externally. The main hypothesis is that a DC motor system can be controlled with a low-cost variant of FPGA-based PID controllers. Therefore, an I2C (Inter-Integrated Circuit) based AD (Analog-to-digital) converter is added as input, while PWM (Pulse width modulation) based output signal is used as an output. The effectiveness of the designed regulator is demonstrated on an example of a DC (direct current) motor control. Additionally, for control and monitoring purposes, the FPGA is connected to the PC using the UART (Universal Asynchronous Receiver Transmitter) protocol. Experimental results indicate that the FPGA-based PID implementation offers solid performance.

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