OBJECTIVE The study was conducted to evaluate the Index of Orthodontic Treatment Need based on the Dental Health Component (DHC). MATERIALS AND METHODS 300 students aged 12-15 years were included in this study. The examinations were performed in two elementary schools in the municipality of Prozor-Rama, using standard dental instruments. Children were ranked into five grades according to the DHC. RESULTS Only 12% of children were found not to have a need for orthodontic treatment. Of the others, 45.33% had a great, and 10% a very great need for orthodontic treatment. The rest of the children were found to have a need for minor or moderate orthodontic treatment. Slightly more girls than boys had a great or a very great need for treatment, although the difference by gender was not statistically significant. Analysis of the level of need by age of children showed no significant difference; children with a great need of orthodontic treatment prevailed in all age groups. About 85% of children with a great and a very great need for orthodontic treatment would agree to orthodontic treatment, while the rate of non-acceptance was about 5%. CONCLUSION The high rate of need for orthodontic treatment in the examined students is explained by the lack of programs for this type of health care, the insufficient number of qualified orthodontic specialists, and the very low percentage of allocations from the state budget for oral health.
Herein we introduce automatic plant watering system, which is considered as one of the most commonly used and the most beneficial automated systems nowadays, which help people in their daily activities by reducing or completely replacing their effort. This system uses sensor technology along with microcontroller and other electronics in order to behave like smart switching system which senses soil moisture level and irrigates the plant if necessary. Purpose of this work is to show how someone can easily make own and cheap automatic plant watering system in just few hours by connecting certain electronic components and other materials required. In our experiment, we connected all required materials exactly as shown in this paper, in order to test whether our system will work properly or not. Although the system made in that way would be the most appropriate for home usage as solution for some daily and usual issues, there is a wide spectrum of possibilities of implementing these systems as a long-term solution for many agricultural and medical problems, some of which are undernourishment and air pollution as most prominent, dangerous and important ones. As one possible agricultural solution, this system can be very helpful in keeping vegetables and other useful and specific plants watered for bigger harvest, which enables farmers from all around world to breed crops of these plants which are the most wanted and the most commonly used in diet. As medical solution, these systems can be used for purpose of cultivating certain plants that are famous and well known by their ability to remove air pollutants and therefore reduce the concentration of toxic pollutants in the air as well the occurrence of respiratory diseases. Future possibilities include some challenging and demanding ideas like joining plants of similar variety and characteristics into complex connections of plants, called “Internet of plants”. There are also many other possibilities like using more than one sensor or solar power supply for experimental purposes, but the fact is however, that, independently of the materials used and the way in which they are connected, this type of automated systems can be very helpful in solving very wide of human-related problems nowadays
Ovaj rad daje pregled relevantnih teorijskih pristupa u objašnjenju nasilnog ponašanja u mladenačkim vezama, kao i uvid u rezultate dosadašnjih istraživanja koja iz njih proizlaze. Prikazana su dva šira pristupa, od koji prvi ispituje vezu kulturalnih i/ili osobnih faktora u nasilnom ponašanju, dok drugi pristup razmatra dinamičku prirodu i procese nasilnog ponašanja. U okviru prvog pristupa opisane su postavke feminističke teorije, teorije socijalnog učenja i teorije individualnih razlika. Osnovne postavke u tumačenju nasilnog ponašanja nekoliko različitih modela (dinamično razvojni-sustavni model, model poticaja/prinuđivanja/ inhibiranja nasilja i kontekstualni model) su prikazane u okviru drugog pristupa. Rezultati dosadašnjih istraživanja su analizirani u ovom preglednog radu uzimajući u obzir pretpostavke o uzrocima, složenost i načine na koje opisuju uzročno-posljedične odnose različiti teorijski pristupi.
OBJECTIVE The aim of this study was to show perioperative complications of CABG procedure with and without cardiopulmonary bypass (CPB) in patients with combined coronary and carotid disease. PATIENTS AND METHODS This retrospective survey included patients with left main stenosis greater than 50% and carotid stenosis over 50%, who had undergone CABG without carotid endarterectomy at the BH Heart Centre, from May 2009 to May 2014. The patients were divided into two groups according to the surgical method used. Group A consisted of 50 patients who underwent surgery without CPB and the second group of 50 patients with CPB, conformed according to gender, ejection fraction values, EuroSCORE and the number of bypass grafts performed. RESULTS Analysis of the basic results indicates significant differences between the groups in the time spent on a respirator or time in the ICU, the amount of postoperative bleeding or compensated blood, as well as subsequent complications. The overall incidence of neurological complications showed a difference in the observed groups. CONCLUSION With ever easier technical performance, complete planned revascularization and the quality of performed grafts, the conditions have been created for a comparative analysis. According to the results we can say that CABG without CPB has a number of advantages over the other method, in patients with the combined disease.
PurposeTo investigate whether the surgical technique of single-bundle anterior cruciate ligament (ACL) reconstruction, the visualization of anatomic surgical factors and the presence or absence of concomitant injuries at primary ACL reconstruction are able to predict patient-reported success and failure. The hypothesis of this study was that anatomic single-bundle surgical procedures would be predictive of patient-reported success.MethodsThis cohort study was based on data from the Swedish National Knee Ligament Register during the period of 1 January 2005 through 31 December 2014. Patients who underwent primary single-bundle ACL reconstruction with hamstring tendons were included. Details on surgical technique were collected using an online questionnaire comprising essential anatomic anterior cruciate ligament reconstruction scoring checklist items, defined as the utilization of accessory medial portal drilling, anatomic tunnel placement, the visualization of insertion sites and pertinent landmarks. A univariate logistic regression model adjusted for age and gender was used to determine predictors of patient-reported success and failure, i.e. 20th and 80th percentile, respectively, in the Knee injury and Osteoarthritis Outcome Score (KOOS), 2 years after ACL reconstruction.ResultsIn the 6889 included patients, the surgical technique used for single-bundle ACL reconstruction did not predict the predefined patient-reported success or patient-reported failure in the KOOS4. Patient-reported success was predicted by the absence of concomitant injury to the meniscus (OR = 0.81 [95% CI, 0.72–0.92], p = 0.001) and articular cartilage (OR = 0.70 [95% CI, 0.61–0.81], p < 0.001). Patient-reported failure was predicted by the presence of a concomitant injury to the articular cartilage (OR = 1.27 [95% CI, 1.11–1.44], p < 0.001).ConclusionSurgical techniques used in primary single-bundle ACL reconstruction did not predict the KOOS 2 years after the reconstruction. However, the absence of concomitant injuries at index surgery predicted patient-reported success in the KOOS. The results provide further evidence that concomitant injuries at ACL reconstruction affect subjective knee function and a detailed knowledge of the treatment of these concomitant injuries is needed.Level of evidenceRetrospective cohort study, Level III.
Men who have sex with men (MSM) are often exposed to unequal treatment in societies worldwide as well as to various forms of stigma and discrimination in healthcare services. Bosnia and Herzegovina (B&H) is a postconflict developing country located in Southeast Europe and the Western Balkans, where little is known about the experiences of MSM regarding their communities and interactions with healthcare services. The aim of this study was to explore the types of experiences MSM face and to assess the level of stigma and discrimination they are exposed to in this setting. We conducted twelve in-depth face-to-face interviews with MSM who were 16 to 45 years old and residing in B&H. The main findings indicated that they all experienced various levels of stigma, discrimination, prejudice and inequities in treatment and attitudes from different segments of society, including the health care sector, that prevented them from fully developing their human and health potential. Additionally, these experiences were adversely related to opportunities to receive good quality health care services due to the insufficiently educated and old-fashioned health professionals who sometimes believed in black magic practices. The findings present numerous opportunities for educational trainings and structural reform to create a society that provides and guarantees equal opportunities for all.
OBJECTIVE We present the use of targeted temperature management in a tertiary-level intensive care unit, in three patients who experienced an out-of-hospital cardiac arrest. CASE REPORT Three young patients experienced an out-of-hospital non-coronary cardiac arrest. The causes of the cardiac arrest were: Wolf-Parkinson-White syndrome, drug overdose and long-QT syndrome. All patients were resuscitated according to the advanced cardiac life support guidelines, and treated with targeted temperature management, with a target temperature of 33°C for 24 hours. After completion of targeted temperature management, all the patients regained full consciousness and were discharged from hospital without any neurological sequelae. CONCLUSION Targeted temperature management may improve survival and neurological outcome in patients after out-of-hospital cardiac arrest.
In this study, the occurrence of Fusarium mycotoxins deoxynivalenol (DON), zearalenone (ZEA) and fumonisins (FUM) was investigated in a total of 257 samples of unprocessed cereals (maize, wheat and barley), sampled annually in Bosnia and Herzegovina throughout the 2013-2015 harvesting period. The levels of mycotoxins were determined using a validated ELISA method. The results showed maize to be the most contaminated cereal among the three, with DON detected in 85%, ZEA in 73% and FUM in 67% of samples, the mean concentrations of the toxins observed during the study period thereby being 984±957 μg/kg, 326±314 μg/kg, and 1, 259±1, 161 μg/kg, respectively. Twenty samples (7.8%) were proven inadmissible for consumption as foodstuffs (Commission Regulation 1881/2006), and 3 samples (1.2%) were proven inadmissible even as feedstuffs (Commission Recommendation 2006/576/EC). Significantly higher (p < 0.05) mycotoxin levels determined in samples harvested in 2014 as compared to those harvested in 2013 and 2015 could be associated with heavy rainfall periods witnessed in 2014 that could favour the formation of moulds, and consequently also the increased production of Fusarium mycotoxins.
Concentrations of seven metals indicated as hazardous to human health (Pb, Cu, Zn, Mn, Ni, V, and Cr) were determined in 24 Hezegovinian white and red wines originating from four viticultural localities (Čitluk, Ljubuški, Stolac, and Trebinje). The concentrations of Pb, Cu, Mn, Ni, V, and Cr were determined by the ET AAS, and Zn concentrations were determined by the FAAS technique. Among seven measured metals, Zn and Mn were found in all analysed wines, while Ni was found in only four, and Cr in only five wines. Some wines contained metals at levels above the regulated maximum acceptable limits (Cu in four, Cr in three, Ni in two, and Pb in one wine). White wines from the Stolac locality were characterized by higher concentrations of Cu, Pb, and Zn. However, it was not possible to establish a firm link between the concentrations of the analysed metals and localities where grapes for wine production were grown for other wines.
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