Abstract: Veterinary practice commonly involves caring for domestic and companion animal. Since the trend of owning exotic pets is rapidly increasing, veterinarians often treat exotic patients as well. As a result, veterinarians are facing increased demands for specialized skills and knowledge. This article aims to provide a concise review of the anatomy of the vascular system in exotic animals and its relevance in clinical practice. Snakes, lizards and chelonians have 3-chambered heart with 2 atria and one partially divided ventricle whereas crocodiles have 4-chambered heart. It is important to consider these characteristics during the anesthesia in reptiles since blood shunting affects changes in blood pressure, oxygen level and other anesthetic parameters. In birds, the cardiovascular system is crucial in enduring the exhausting physical activities such as swimming, flying or diving and running. Birds have renal portal system which consists of cranial and caudal renal portal vein. The recommendation of avoiding drug application in the hindlimbs of birds is present for a long time. This is valid not only for birds, but for reptiles, amphibians and most fish. The ventricle of amphibians is trabeculated, which minimizes blood shunting through various anatomical and physiological features. During biphasic systole, the left and right side of the ventricle contract separately, directing blood in different parts of aortic arches. Due to the complexity of the exotic animals, thorough education added in veterinary curricula is needed. Keywords: amphibians, birds, cardiovascular, clinical, reptiles

Substituting precious elements in luminophores and photocatalysts by abundant first-row transition metals remains a significant challenge, and iron continues to be particularly attractive owing to its high natural abundance and low cost. Most iron complexes known to date face severe limitations due to undesirably efficient deactivation of luminescent and photoredox-active excited states. Two new iron(III) complexes with structurally simple chelate ligands enable straightforward tuning of ground and excited state properties, contrasting recent examples, in which chemical modification had a minor impact. Crude samples feature two luminescence bands strongly reminiscent of a recent iron(III) complex, in which this observation was attributed to dual luminescence, but in our case, there is clear-cut evidence that the higher-energy luminescence stems from an impurity and only the red photoluminescence from a doublet ligand-to-metal charge transfer (2LMCT) excited state is genuine. Photoinduced oxidative and reductive electron transfer reactions with methyl viologen and 10-methylphenothiazine occur with nearly diffusion-limited kinetics. Photocatalytic reactions not previously reported for this compound class, in particular the C–H arylation of diazonium salts and the aerobic hydroxylation of boronic acids, were achieved with low-energy red light excitation. Doublet–triplet energy transfer (DTET) from the luminescent 2LMCT state to an anthracene annihilator permits the proof of principle for triplet–triplet annihilation upconversion based on a molecular iron photosensitizer. These findings are relevant for the development of iron complexes featuring photophysical and photochemical properties competitive with noble-metal-based compounds.

The selection of the optimal equipment for discontinuous haulage systems is one of the most important decisions that need to be made when an open-pit mine is designed. There are a number of influencing factors, including natural (geological and environmental), technical, economic, and social. Some of them can be expressed numerically, in certain units of measure, while others are descriptive and can be stated by linguistic variables depending on the circumstances of the project. These factors are characterized by a high level of uncertainty, associated with both exploration and mining operations. The experience, knowledge, and expert judgment of engineers and specialists are of key importance for the management of mining processes, consistent with the issues stemming from the dynamic expansion of open-pit mines in space over time. This paper proposes an integrated model that translates all the criteria that affect the selection of the optimal solution into linguistic variables. By employing the multiple-criteria decision-making method and combining it with fuzzy logic, we developed an algorithm that addresses all the above-mentioned uncertainties inherent in various mining processes where the experience of experts forms the basis. The fuzzy analytic hierarchy process is used in order to deal with trending decision problems, such as mining equipment and management system selection. The entire algorithm was applied to a real case study—the Ugljevik East 1 open-pit mine.

Ultrashort laser pulses are unique tools to trigger and probe the fastest charge dynamics in matter, allowing the investigation of fundamental physical phenomena with unprecedented resolution in space, time and energy. One of the most fascinating opportunities that ultrashort pulses offer is the possibility of modulating and investigating symmetries by tailoring the properties of the laser beam in the spatial and polarization domains, effectively controlling symmetry breaking on multiple levels. In particular, this allows the probing of chiral matter and ultrafast chiral dynamics. In recent years, the development of highly sensitive approaches for studying chirality has been a hot topic in physics and chemistry that has developed largely separately from the field of tailored light. This Perspective discusses the individual and joint evolution of these fields, with an emphasis on how the fields have already cross-fertilized, opening new opportunities in science. We outline a future outlook of how the topics are expected to fully merge and mutually evolve, emphasizing open issues. This Perspective explores the potential of using tailored fields to investigate chiral matter and ultrafast chiral dynamics. Light fields with well-defined symmetry properties can open new opportunities for research in chiral light–matter interactions.

Abstract Objective: Finding a reliable preoperative predictor of complicated acute appendicitis (AA) has been a challenging diagnostic problem. The present study aimed to identify potential factors that may predict complicated AA in the pediatric emergency department (ED) based on routine, widely available laboratory tests on admission to the ED, including plasma sodium concentration. Methods: We retrospectively reviewed clinical and laboratory data of pediatric patients with AA who underwent emergency surgery at our department between January 2020 and December 2022. The patients were divided into two groups: histopathologically proven complicated AA (n = 80) and noncomplicated AA (n = 155). Results: Complicated AA was associated with reduced plasma sodium and chloride concentrations (p < 0.001, both), decreased values of lymphocytes (p = 0.002), elevated C-reactive protein (CRP) (p < 0.001), and elevated values of white blood cells (WBC) and neutrophils (p = 0.012 and 0.001, respectively). In binomial logistic regression, increased levels of CRP and WBC and decreased levels of sodium were predictors of complicated AA. The area under the receiver operating characteristic curve was 0.825 (95% confidence interval: 0.764, 0.886). Conclusion: We identified mild hyponatremia and elevated CRP and WBC values as potential markers for distinguishing complicated from uncomplicated pediatric AA with implications for surgical approaches for treating complicated AA and conservative approaches for treating uncomplicated AA. Highlights of the Study Finding reliable preoperative predictors of complicated acute appendicitis (AA) has been a challenging diagnostic problem in emergency departments worldwide. We identified mild hyponatremia and elevated levels of C-reactive protein and white blood cells as potential markers for distinguishing between complicated and uncomplicated pediatric AA. Our study may have implications for surgical approaches in complicated disease and conservative approaches in uncomplicated disease. Routine blood tests can help emergency physicians discriminate between complicated and uncomplicated AA.

Persistent gastrointestinal symptoms are prevalent in adult patients with inflammatory bowel disease (IBD), even when endoscopic remission is reached. These symptoms can have profound negative effects on the quality of life of affected patients and can be difficult to treat. They may be caused by IBD‐related complications or comorbid disorders, but they can also be explained by irritable bowel syndrome (IBS)‐like symptoms.

From productive and ecological point of view, Quercus robur L. is an extremely important species and the investigation of its anatomical properties is very significant in terms of its technical and technological utilization. The paper deals with the analysis of the wood fiber characteristics (fiber length, fiber lumen width, double-cell wall thickness, Runkel ratio) of mature pedunculate oak trees in the non-flooded (Management Unit "Vinična-Žeravinac-Puk") and flooded area (Management Unit "GVO 83 b"). One of the aims of the study is to determine the wood fiber quality and the possibility of use in paper and pulp production. When the mean values of the analysed anatomical characteristics are compared, the results show slightly higher values in the non-flooded area, except for the Runkel ratio. The radial pattern of the investigated characteristics depending on the age shows growth in the non-flooded area, while the same tendency in the flooded area was found for the fiber length only. It was recorded that fiber lumen width, double-cell wall thickness and Runkel ratio decreased in the final annual rings. The wood fiber quality for use in pulp and paper production is the greatest in the juvenile zone, unlike sapwood zone, regardless of the site conditions.

BACKGROUND AND PURPOSE: Flat-panel detector CT immediately after mechanical thrombectomy can detect complications, including early hemorrhagic transformation and subarachnoid hyperdensities. The clinical significance of subarachnoid hyperdensities in patients undergoing mechanical thrombectomy remains unclear. MATERIALS AND METHODS: We studied 223 patients who underwent mechanical thrombectomy for anterior circulation stroke who had flat-panel detector CT performed immediately after the procedure and had follow-up imaging within 24 hours. Subarachnoid hyperdensity severity was categorized into 5 grades (subarachnoid hyperdensities, 0: absent to subarachnoid hyperdensities, IV: extensive). Baseline and procedural characteristics as well as outcome measures were analyzed using group comparisons and multivariable logistic regression analyses. RESULTS: Overall, 100/223 (45%) patients showed subarachnoid hyperdensities on immediate postinterventional flat-panel detector CT. The factors associated with an increased subarachnoid hyperdensity risk were the following: medium-vessel occlusion or distal-vessel occlusion compared with a large-vessel occlusion, a more distal device position, a higher number of device passes, a larger volume of contrast applied, worse final reperfusion expanded TICI, and after receiving IV thrombolysis. The occurrence of subarachnoid hyperdensity grades II–IV was independently associated with worse functional outcomes (adjusted OR for mRS, 3–6: 2.2; 95% CI 1.1–4.3), whereas patients with subarachnoid hyperdensity grade I had outcomes similar to those in patients without subarachnoid hyperdensities. CONCLUSIONS: Our study identified risk factors for subarachnoid hyperdensities, most of which reflect increasingly challenging procedures or more peripheral recanalization attempts. The presence of subarachnoid hyperdensity grades II–IV was associated with poorer outcomes, suggesting the need for personalized strategies to reduce its incidence and severity or potentially improve recovery after subarachnoid hyperdensities.

This paper introduces a simultaneous optimization approach to synthesizing work and heat exchange networks (WHENs). The proposed work and heat integration (WHI) superstructure enables different thermodynamic paths of pressure and temperature-changing streams. The superstructure is connected to a heat exchanger network (HEN) superstructure, enabling the heat integration of hot and cold streams identified within the WHI superstructure. A two-step solution strategy is proposed, consisting of initialization and design steps. In the first step, a thermodynamic path model based on the WHI superstructure is combined with a model for simultaneous optimization and heat integration. This nonlinear programming (NLP) model aims to minimize operating expenditures and provide an initial solution for the second optimization step. In addition, hot and cold streams are identified, enabling additional model reduction. In the second step of the proposed solution approach, a thermodynamic path model is combined with the modified HEN model to minimize the network’s total annualized cost (TAC). The proposed mixed integer nonlinear programming (MINLP) model is validated by several examples, exploring the impact of the equipment costing and annualization factor on the optimal network design. The results from these case studies clearly indicate that the new synthesis approach proposed in this paper produces solutions that are consistently similar to or better than the designs presented in the literature using other methodologies.

Background Breast cancer-related lymphedema (BCRL) is a potentially disabling and often irreversible consequence of breast cancer treatment, caused by the mechanical incompetence of the lymphatic system, resulting in reduced drainage capacity and functional overload due to an excessive volume of interstitial fluid surpassing the system’s transport capacity in the arm. We wanted to determine the impact and explore the differences in independent risk factors for the occurrence of BCRL; incidence of BCRL over a five-year period at the Institute of Oncology Vojvodina in Sremska Kamenica and to answer the research question regarding the influence of the prehabilitation program on the overall incidence of BCRL during the observed five-year period. Methods From 2014 to 2018, a retrospective study was conducted at the Institute of Oncology of Vojvodina in Sremska Kamenica, analyzing female patients who had undergone breast cancer surgery. Results The study included 150 breast cancer patients who developed secondary lymphedema following surgery with the mean age of 59.2 ± 11.3 years. Fluctuations in hospitalization rates were observed over the five-year period, with the highest number of admissions in 2014 (24.0%) and a decline in 2018 (14.0%). The most common surgical procedure performed was left quadrantectomy (24.0%), followed by right quadrantectomy (20.0%) and left amputation (15.3%). The mean number of removed lymph nodes was 15.2 ± 6.1, with no statistically significant association between the number of removed lymph nodes and the manifestation of secondary lymphedema. The severity of secondary lymphedema varied based on patient age, with a higher incidence of moderate and severe lymphedema observed in patients aged 61 years and older. Patients who underwent radical surgery were more likely to experience severe lymphedema compared to those who had conservative surgery, although this difference was not statistically significant. Conclusion In our study, the type of surgery, elapsed time since surgery, and the number of removed lymph nodes were not influencing factors for the occurrence of BCRL. However, concerning its severity, a greater number of systemic therapy modalities combined with radiotherapy were associated with a more frequent occurrence of mild and moderate BCRL. Also, the severity of BCRL varied among different age groups, with a higher incidence of moderate and severe lymphedema observed in patients aged 61 years and older. Ultimately, improving the quality of life for individuals affected by secondary lymphedema remains a crucial goal in the field of oncology.

Introduction: Patients following the acute stage of Severe Acute Respiratory Syndrome Coronavirus 2 were shown to present with persisting symptoms including fatigue, dyspnea, joint pain, and chest pain. The aim of this study was to investigate the effect of a 6-week home physiotherapy program on the psychological and physical symptoms, as well as the physical abilities to perform activities of daily living in post-COVID-19 patients. Methods: The subjects were 39 adult patients who had been diagnosed with COVID-19 and had been hospitalized at the University Clinical Center of Kosovo. Patients initially underwent a physiotherapy assessment 2-3 weeks after discharge from the hospital, including sociodemographic data, psychological and physical symptoms, and functional performance in daily activities using the Patient-Specific Functional Scale (PSFS). Based on their functional capacity, the patients received two types of brochures for a home physiotherapy program that was carried out over the next 6 weeks. Upon the completion of the physiotherapy program, 23 patients reported for the second physiotherapy assessment. The Mann–Whitney Wilcoxon test was used for comparison of the variables obtained during the first and second assessments. Results: Pre–post analysis showed that the symptoms including excessive fatigue, difficulty breathing, and insomnia were significantly less present following the home physiotherapy program (p = 0.005; p = 0.008; p = 0.034). On the PSFS scale, the mean score increased from 5.2 (2.1) to 7.8 (0.5) for stair climbing, from 5.5 (1.8) to 8.8 (1.6) for walking longer distances, and from 3.7 (3.2) to 4.0 (5.6) for running. Conclusion: Although limited by the absence of a control group, the findings from this study indicate that home physiotherapy intervention can be feasible and effective in enhancing psychological and physical symptoms, as well as activities of daily living in post-COVID-19 patients following hospitalization.