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Vítor Todeschini, L. M. Moreira, Ilana de Souza Nunes, Rafaela da Cruz Fegueredo, Maria Gcs Teixeira, C. Costa, Claudio Machado, Arídio Mattos et al.

Os acidentes com animais peçonhentos têm importância na saúde pública, sendo fundamental ações educativas para prevenção, diagnóstico e tratamentos. No Brasil, os soros hiperimunes são preconizados para o tratamento dos acidentados. Esses produtos são produzidos por laboratórios oficiais seguindo requisitos das Boas Práticas de Fabricação (BPF) e distribuídos gratuitamente pelo Sistema Único de Saúde. Buscando atender uma demanda da sociedade, o projeto de extensão “Kaizen: Formação de recursos humanos e o aperfeiçoamento contínuo profissional, institucional e social sobre animais peçonhentos e a produção de soros na saúde pública” estabeleceu uma parceria entre o Instituto Vital Brazil (IVB) e o Curso de Farmácia da Universidade Federal do Rio de Janeiro (UFRJ-Macaé) para o desenvolvimento de ciclos de ações educativas para diferentes públicos. O primeiro ciclo foi realizado pela universidade e direcionado aos colaboradores do IVB envolvendo conteúdos das BPF. O segundo ciclo foi realizado pelo IVB para o público de Macaé e municípios limítrofes com a participação de estudantes de ensino fundamental, médio e superior, além de agentes de combate de endemias, exército brasileiro, defesa civil, centro de zoonoses e guarda ambiental. Após a realização das ações, formulários de avaliação foram fornecidos aos participantes, observando-se alto grau de satisfação. Dessa forma, as ações contribuíram para o aprimoramento do conhecimento das BPF, além de ampliar os espaços de construção do conhecimento e aprendizagem para evitar os acidentes com animais peçonhentos, assim como nos tratamentos e produção dos soros hiperimunes e distribuição na saúde pública.

Mirzeta Memišević Hodži̇ć, V. Halilović, Admir Advagic, D. Ballian

Aim of study: This research aims to determine if there are statistically significant differences among provenances of silver fir (Abies alba Mill.) as one of the most important tree species in Bosnia and Herzegovina, to choose a provenance with the best productivity for further silvicultural activities of silver fir in the country. Material and methods: The height and diameter at breast height were measured, and the basal area and volume of silver fir trees were calculated in the silver fir provenance test. The test contains nine provenances from Bosnia and Hezegovina and was launched in 1991, with 5-year-old seedlings (3+2). The data were collected in 2013. Main results: Variance analysis for all traits showed statistically significant differences among provenances. Average breast height diameter in 27-year-old plants for all provenances amounted to 11.0 cm, average height 8.4 m, average basal area 0.010342 m, and average volume 0.070845 m Highlights: The research results confirmed the existence of variability among silver fir provenances in Bosnia and Herzegovina, considering the morphological indicators. Provenance Bosanski Petrovac showed the highest values of all traits, which implies it is the best provenance for the further activities on seed collecting and producing planting material for afforestation in Bosnia and Herzegovina.

P. Ilić, A. ALEKSIC-VELJKOVIC, M. Hadžović

Introduction: This research aimed to determine the impact of horseback riding on the balance ability of first-grade students. Material and methods: Fifty-eight students were divided into two sub-groups: twenty-eight riders and thirty non-riders. The subtest of balance is composed of nine items which were grouped into five variables: Total balance, Static balance, Dynamic balance, and Open and Closed eyes balance. The Mann-Whitney U test was used to determine the significance of the difference between the groups, and the strength of the effect of intergroup differences was determined using the Cohen criteria. Results: The results showed that there were statistically significant differences between groups in Total balance, Static, and Balance with closed eyes. Cohen's criterion indicates that there was a strong effect of intergroup differences in performance demanding balance tasks of 7-year-old children. Conclusion: It can be observed that horseback riding has the effect of reducing the difference between the maximum and minimum balance points by enhancing competencies at the minimum level.

D. Zanini, N. Todorović, D. Korovljev, V. Štajer, J. Ostojić, J. Purać, D. Kojić, Elvira L. Vukašinović et al.

In this randomized controlled pilot trial, we investigated the effects of a 6-month intake of hydrogen-rich water (HRW) on several molecular and phenotypic biomarkers of aging in older adults aged 70 years and over. Forty older adults (20 women) were randomly allocated in a parallel-group design to receive 0.5 L per day of HRW (15 ppm of hydrogen) or control drink (0 ppm of hydrogen) during a 6-month intervention period. The biomarkers assessed at baseline and 6-month follow up were molecular markers in the blood (DNA and chromosomes, nutrient sensing, protein, and lipid metabolism, oxidative stress and mitochondria, cell senescence, inflammation), brain metabolism, cognitive functioning, physical function and body composition, resting blood pressure, facial skin features, sleep outcomes, and health-related quality of life. The mean age, weight, and height of study participants were 76.0 ± 5.6 years, 78.2 ± 16.1 kg, height 167.5 ± 11.5 cm, respectively. A significant treatment vs. time interaction was found for telomere length (P = 0.049), with the length increased after HRW intervention (from 0.99 ± 0.15 at baseline to 1.02 ± 0.26 at follow up) and decreased after drinking control water (from 0.92 ± 0.27 to 0.79 ± 0.15). A marker of DNA methylation (Tet methylcytosine dioxygenase 2, TET2) expression at 6-month follow-up increased in both groups, yet the degree of elevation was significantly higher in HRW (from 0.81 ± 0.52 at baseline to 1.62 ± 0.66 at follow up) comparing to the control water (from 1.13 ± 0.82 to 1.76 ± 0.87) (P = 0.040). A strong trend for treatment vs. time interaction was found for a degree of DNA methylation (P = 0.166), with the methylation increased in the HRW group (from 120.6 ± 39.8 ng at baseline to 126.6 ± 33.8 ng at follow up) and decreased after taking control water (from 133.6 ± 52.9 ng to 121.2 ± 38.4 ng). HRW was superior to control water to increase brain choline and NAA levels in the left frontal grey matter, brain creatine at the right parietal white matter, and brain NAA at the right parietal mesial grey matter (P < 0.05). No significant differences were found between interventions for other outcomes (P > 0.05), except for a significantly improved chair stand performance after HRW intervention compared to the control water (P = 0.01). Owing to pleiotropic mechanisms of hydrogen action, this simple biomedical gas could be recognized as a possible anti-aging agent that tackles several hallmarks of aging, including loss of function and telomere length shortening. The study was registered at ClinicalTrials.gov (NCT04430803).

M. Mattos, É. D. Souza, Camila Munarini

A temática fechamento de escola do campo tem sido fortemente discutida nos últimos anos em vários trabalhos científicos, sendo também fator de preocupação por parte das comunidades localizadas em área rural. Este artigo analisa a política de municipalização do ensino fundamental e de nucleação de escolas, indicando que tal política é o principal motivador do fechamento de milhares de escolas do campo no Brasil e de dezenas de escolas no Município de Passos Maia. Além disso, está elaboração apresenta dados sobre as escolas que foram fechadas no Município de Passos Maia e aponta os impactos negativos que a comunidade Conquista de Sepé obteve ao ser fechada sua escola local. Conclui-se, dessa forma, que fechar as Escolas do Campo provoca a destituição da organização social e da vivência comunitária. Nesta direção é que se localiza a afirmação de que Escola do Campo é “vida na comunidade”, por compreende-se que o fechamento/extinção de escolas do campo leva ao fechamento/extinção das comunidades rurais.  Como instrumentos metodológicos, para a elaboração do trabalho, foram utilizados estudo bibliográfico e entrevistas.

W. Luo, T. Stevens, P. Stafford, M. Miettinen, Z. Gatalica, S. Vranić

Nuclear protein of testis (NUT), a protein product of the NUTM1 gene (located on the long arm of chromosome 15) with highly restricted physiologic expression in post-meiotic spermatids, is the oncogenic driver of a group of emerging neoplasms when fused with genes involved in transcription regulation. Although initially identified in a group of lethal midline carcinomas in which NUT forms fusion proteins with bromodomain proteins, NUTM1-rearrangement has since been identified in tumors at non-midline locations, with non-bromodomain partners and with varied morphology. The histologic features of these tumors have also expanded to include sarcoma, skin adnexal tumors, and hematologic malignancies that harbor various fusion partners and are associated with markedly different clinical courses varying from benign to malignant. Most of these tumors have nondescript primitive morphology and therefore should be routinely considered in any undifferentiated neoplasm. The diagnosis is facilitated by the immunohistochemical use of the monoclonal C52 antibody, fluorescence in situ hybridization (FISH), and, recently, RNA-sequencing. The pathogenesis is believed to be altered expression of oncogenes or tumor suppressor genes by NUT-mediated genome-wide histone modification. NUTM1-rearranged neoplasms respond poorly to classical chemotherapy and radiation therapy. Targeted therapies such as bromodomain and extraterminal domain inhibitor (BETi) therapy are being developed. This current review provides an update on NUTM1-rearranged neoplasms, focusing on the correlation between basic sciences and clinical aspects.

Leila Begić, Herzegovina, Mirela Duranovic, Mirza Sitarević, Fata Becirbasic

The main objective of the study was to determine the developmental abilities of preschool children before and after six months of speech therapy treatment, and to examine the impact of the time of initiation of speech therapy treatment on the developmental abilities of children. The sample consisted of 35 children (20 male children and 15 female children), and all respondents reported early intervention due to speech and language difficulties. The age of the respondents ranged from 25 to 60 months. After conducting interviews with parents, taking anamnestic data, professional speech therapy diagnosticobservational procedure and determining speech-language disorders, the children underwent speech therapy treatment. After six months, a final assessment was made and the results showed statistically significant progress in all variables describing developmental abilities in children. The predictor “Time of treatment initiation” also had a statistically significant impact on all tested variables of developmental abilities of preschool children. The results showed that speech therapy treatment enables significant progress in all developmental areas in children, i.e. that progress in one development area follows the development of other areas.

D. Stanujkić, D. Karabašević, G. Popović, D. Pamucar, Željko Stević, E. Zavadskas, F. Smarandache

This manuscript aims to propose a new extension of the EDAS method, adapted for usage with single-valued neutrosophic numbers. By using single-valued neutrosophic numbers, the EDAS method can be more efficient for solving complex problems whose solution requires assessment and prediction, because truth- and falsity-membership functions can be used for expressing the level of satisfaction and dissatisfaction about an attitude. In addition, the indeterminacy-membership function can be used to point out the reliability of the information given with truth- and falsity-membership functions. Thus, the proposed extension of the EDAS method allows the use of a smaller number of complex evaluation criteria. The suitability and applicability of the proposed approach are presented through three illustrative examples.

Nermin Delic, Herzegovina, Irfan Djedović, Ensar Mekić

The main aim of the study was to empirically investigate and understand the effects that autonomy has on job satisfaction and job performance in Bosnia and Herzegovina. The empirical data was obtained from a questionnaire of 242 people living and working in Bosnia and Herzegovina. Once the data was collected, data analysis was conducted to assure validity and reliability through items’ loadings and Cronbach’s Alpha values.Furthermore, the scales were tested for convergent validity through partial least-square path modelling using SmartPLS 3 software. The results indicated that the effects of autonomy on job performance and job satisfaction were significant and had positive relationship.

L. Ristovska, Z. Jachova, Jasmina Kovačević, V. Radovanović, Husnija Hasanbegović, Ss. Cyril, Skopje North Macedonia Rehabilitation, Belgrade Serbia Rehabilitation et al.

Speech detection threshold (SDT) depends on audibility alone, whereas speech recognition threshold (SRT) requires the stimuli to be heard and identified. The aim of the study was to determine the difference between SDT and SRT, and to analyze the correlation between pure tone thresholds and speech thresholds. Difference between SDT and SRT was ≤ 12 dB in majority of cases (p = .018). SDT was strongly correlated with the best pure tone threshold. Pearson correlation coefficient was the highest in “Inverted U” shape (r = .99). There was strong correlation between SRT and PTA (500-2000), PTA (500-4000), and PTA (500-1000), especially in Rising configuration (r = .997, r = .992 r = .989, respectively), as well as, between SRT and frequency of 1000 Hz (r = .989). SRT is in the highest correlation with PTA (500, 1000, 2000 Hz) and with the hearing threshold at frequency of 1000 Hz.

Aim of this paper was to determine the frequency of congenital anomalies in a sample of newborns of Tuzla Canton and as well as their distribution according to gender, mother’s age and marital distance category. Research was undertaken using the retrospective analysis on the Clinic for Gynecology and Obstetrics of University Clinical Center in Tuzla. By analyzing medical documentation of 17223 newborns, we determined the frequency of congenital anomalies of 5.24%. Highest frequency of congenital anomalies was found in the newborns whose mothers are older than 35. It was found that the frequency of congenital anomalies in the observed population is within the range of variation of this parameter with data from the literature.

The aim of this study was to determine the antioxidant activity, total phenolics, total flavonoid, proanthocyanidins, and anthocyanins content of eight berry species, namely serviceberry, gooseberry, blackberry, black chokeberry, bilberry, red currant, black currant, and cornelian cherry harvested in the regions of Sarajevo and Tuzla, Bosnia and Herzegovina. The antioxidant activity was determined by a battery of in vitro tests including DPPH radical assay, FRAP assay, ABTS assay, and phosphomolybdate test for total antioxidant capacity. Total phenolics, total flavonoids, and proanthocyanidins ranged from 0.834 to 6.921 mg TAE (tannic acid equivalents), 0.081–0.673 mg of quercetin, and 0.162–3.247 mg of catechin per gram of fresh fruit, respectively. The water extract of fruits had considerable levels of tested constituents and antioxidant activity, with the highest results obtained for black chokeberry. The multivariate clustering analysis showed that water extracts of analyzed species of berries belong to four distinct types in terms of their antioxidants levels and antioxidant activity. Furthermore, these results support the opinion that employment of multiple antioxidant tests is indeed required for adequate in vitro assessment of antioxidant capacity. Results also emphasized the need for a more detailed evaluation of the fruit species with good antioxidant potential (relative to standards), such as cornelian cherry and gooseberry, which are abundant yet not frequently consumed in Bosnia and Herzegovina.

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