Introduction: Sudden OHCA (Out of hospital cardiac arrest) is the third leading cause of death in industrialized nations. With more than 60% of cardiovascular deaths resulting from cardiac arrest, it remains the leading cause of death worldwide. Heart rhythms associated with cardiac arrest are divided into two groups: shockable rhythms (ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT) and non-shockable rhythms (asystole and pulseless electrical activity (PEA)). VF is the most commonly identified arrhythmia in cardiac arrest patients. Urgent medical treatment includes cardiopulmonary resuscitation and early defibrillation. Material and Methods: Materials for this case report are data collected from the medical records of the Emergency Medical Center of Sarajevo protocol of patients. Case report: Our case report is presented with 59 years old man who had OHCA in his apartment. The initial rhythm was VF, and cardiopulmonary resuscitation was provided due to the Advanced life support guidelines to shockable rhythms. It was delivered 3 DC Shock-s (200J, 300J, 360 J) with the biphasic defibrillator, it was administered 1mg Adrenalin and performed endotracheal intubation. After the third DC shock, we got the return of spontaneous circulation ROSC. The patient was transferred to the University hospital, were he was stabile, and PCI of the LAD was performed as per the standard protocol. Echocardiography performed in the CCU revealed hypokinesia of RV, with preserved systolic function. On hospital day 7 he had a full neurological recovery. He was conscious, oriented, with normal breathing, blood pressure 125/79mmHg, sPO2 99, ECG: sinus rhythm, fr 87/min, without pathological signs. Echocardiography revealed the reduced systolic function of the left ventricle, with mitral regurgitation MR+2. Discussion: Out-of-hospital cardiac arrest (OHCA) is a major health problem in Europe and in the United States. The numbers of patients who have OHCA annually in these two parts of the world have traditionally been reported to be 275,000 and 420,000 respectively. The success of resuscitation depends on many factors: well-organized health care, organization of outpatient emergency services, but primarily when it comes to OHCA, education of the population on Basic life support, and early Cardiopulmonary resuscitation and use of AED (automated external defibrillator).
A 12-point checklist in the design and practical application of active surveillance of diseases in aquatic organisms (farmed and wild) has been developed to serve as a methodological approach and guidance for a multidisciplinary team particularly in countries where surveillance expertise is limited. The checklist is based on a review of available main aquatic surveillance references and scientific literature and was further developed based on the outcomes of several aquaculture biosecurity project-related workshops hosted by the Food and Agriculture Organization of the United Nations. The checklist includes the following: (1) scenario setting; (2) defining surveillance objective; (3) defining the populations; (4) disease clustering; (5) case definition; (6) diagnostic testing; (7) study design and sampling; (8) data collection and management; (9) data analysis; (10) validation and quality assurance; (11) human and financial resources and logistics requirements; and (12) surveillance in the bigger picture. For a multidisciplinary approach to disease control, knowledge of fish biology, aquaculture systems and many aspects of aquaculture health management are required. Surveillance needs significant financial investment and must be supported by adequate diagnostic capability, information system management, legal framework and communication networks, with transparent reporting mechanisms to allow rapid disease response for serious diseases of aquatic organisms. It is a stepwise and pragmatic approach that offers a good starting point for addressing disease issues especially in developing countries. It can be used as a model to build targeted surveillance competency and a basic reference when implementing a surveillance programme or improving existing programmes.
The object of the research are fuzzy functional dependencies on given relation scheme, and the question of their obtaining using the classical and innovated techniques. The attributes of the universal set are associated to the elements of the unit interval, and are turned into fuzzy formulas in this way. We prove that the dependency (which is treated as a fuzzy formula with respect to appropriately chosen valuation) is valid whenever it agrees with the attached two-elements fuzzy relation instance. The opposite direction of the claim is proven to be incorrect in this setting. Generalizing things to sets of attributes, we prove that particular fuzzy functional dependency follows form a set of fuzzy dependencies (in both, the world of two-element and the world of arbitrary fuzzy relation instances) if and only if the dependency is valid with respect to valuation anytime the set of fuzzy formulas agrees with the valuation. The results derived in paper show that the classical techniques in the procedure for generating new fuzzy dependencies may be replaced by the resolution ones, and hence automated. The research is conducted with respect to Willmott fuzzy implication operator
In this paper we consider all possible dependencies that can be built upon similarity-based fuzzy relations, that is, fuzzy functional and fuzzy multivalued dependencies. Motivated by the fact that the classical obtaining of new dependencies via inference rules may be tedious and uncertain, we replace it by the automated one, where the key role is played by the resolution principle techniques and the fuzzy formulas in place of fuzzy dependencies. We prove that some fuzzy multivalued dependency is actively correct with respect to given fuzzy relation instance if and only if the corresponding fuzzy formula is in line with the attached interpretation. Additionally, we require the tuples of the instance to be conformant (up to some extent) on the leading set of attributes. The equivalence as well as the conclusion are generalized to sets of attributes. The research is conducted by representing the attributes and fuzzy dependencies in the form of fuzzy formulas, and the application of fuzzy implication operators derived from carefully selected Frank’s classes of additive generators
From the point of view of syntactic analysis, the main features of texts belonging to literary style are the unlimited freedom and absence of rules which in other functional styles dictate the characteristic use of syntactic patterns and structures, as well as means of text cohesion. That is why it is difficult to discuss the specific features of the syntax of literary style in general. Instead, it is possible to analyze the use of syntax as an element of style of individual authors, literary movements or genres. However, it is not the syntactic features that could be analyzed as building blocks of unique, homogenous style of Yusuf Idris that served as motivation for writing of this paper. Quite the contrary, the paper draws attention to markedly different syntactic devices used by this writer in different short stories. The central focus of the paper is the analysis of these syntactic devices in several short stories of Yusuf Idris, which aims to show that the use of syntax therein is not simply means or form used by the writer to convey the content of the story. Actually, this syntactic warp and woof of the story, packed with various syntactic figures, not only works together with the story content and tells one part of it but often speaks louder than words, forming unique narrative devices.
Ovaj rad nastoji dekonstruirati tradicionalne narative o ubiranju džizje u Osmanskom Carstvu i doprinijeti boljem poznavanju osmanske politike u nametanju spomenute dace u oblastima u kojima je sirenje islama uzelo maha kroz ispitivanje osmanske prakse nametanja džizje muslimanima na podrucju centralne Bosne. Navedeno pitanje u historiografiji je zapostavljeno te o tome postoje samo rudimentarni podaci zasnovani na vrlo ogranicenom broju osmanskih izvora. Nedostaci koji postoje u studijama kojima trenutno raspolažemo, u ovom radu se nastoje otkloniti analizom deftera džizje vilajeta Brod iz 1679. godine, u kojem su muslimani cinili preko 90% obveznika džizje, sto do sada nije zabilježeno ni na jednom drugom podrucju Osmanske države. Također, koristeci raznovrsnu neobjavljenu i neobrađenu građu na osmanskom jeziku, autor tumaci porijeklo i razvoj osmanske prakse ubiranja džizje od muslimanskog stanovnistva te ispituje posljedice koje je navedena pojava imala na drustvene procese koji su se odvijali u regiji, u prvom redu na proces sirenja islama. ---------------------------------------------- Muslim jizya payers in the seventeenth-century Ottoman Empire: a case study for the Vilayet of Brod This paper aims to deconstruct the traditional narratives on the Ottoman financial and political strategies towards non-Muslim and Muslim subjects in the Western Balkans by re-examining the foundation, extent and consequences of the central government’s policy of demanding a payment of jizya tax not only from non-Muslims, as stipulated in the classical Sharia law, but from the Muslim population as well. Although academic community is aware of the existence of Muslim jizya payers in several regions of the Ottoman Empire, this paper argues that historiographic knowledge on the mentioned phenomenon is rather rudimentary as present studies on this topic are based on a very limited data while official financial records that contain information on Muslim jizya payers, such as the jizya registers from the Ottoman Bosnia, have still not been thoroughly analysed. Recognizing the need to include financial records into the account, the main research strategy of this paper was to identify and examine records of jizya payers which contain a significant number of Muslims in a taxpayer role as well as to compare and interpret this data with other financial, administrative and legal texts that could help us gain better insight into the phenomenon of Muslim jizya payers in the Ottoman practice. The main primary source for the analysis provided in this study was a register of jizya payers from the vilayet of Brod, in central parts of the Ottoman Bosnia, from the 1679, which have not been previously used in historiographic studies. On the basis of this financial register, it has been concluded that more that 90% of all jizya payers in the territory covered in the mentioned register were Muslims, which is an important and interesting fact that has still not been recorded in any other part of the Ottoman Empire. After identifying the historical background of Muslim jizya payer phenomenon in Bosnia, this case study explains its connection with broader political and financial practices of the Ottoman authorities, as well as its relation with the Islamic legal tradition. Furthermore, the study uses the data from primary sources to additionally deconstruct the narrative that only Christians and Jews paid the jizya in Ottoman Empire, as well as it re-examines the validity and shortcomings of an old historiographic notion that jizya should be considered a primary reason in explaining why massive process of conversion to Islam took place in the Early Modern Ottoman Bosnia.
Polycystic ovary syndrome (PCOS) is a frequent endocrine disease in women during reproductive period. It is considered a complex metabolic disorder with long-term metabolic, as well as reproductive consequences. Main pathophysiological pathways are related to the increased androgen levels and insulin resistance. Nowadays, genetic origins of PCOS are acknowledged, with numerous genes involved in the pathogenesis of hyperandrogenemia, insulin resistance, inflammation and disturbed folliculogenesis. Rotterdam diagnostic criteria are most widely accepted and four PCOS phenotypes have been recognized. Metabolic abnormalities are more common in phenotypes 1 and 2. Women with classic PCOS are more obese and typically have central type of obesity, more prevalently displaying dyslipidemia, insulin resistance and metabolic syndrome that could be associated with an increased risk of cardiovascular complications during life. Heterogeneity of phenotypes demands an individualized approach in the treatment of women with PCOS. Metabolic therapies involve a lifestyle intervention followed by the introduction of insulin sensitizers including metformin and inositols, glucagon-like peptide 1 receptor agonists (GLP-1 RA), as recently sodium glucose contransporter-2 (SGLT2) inhibitors. Addition of an insulin sensitizer to the standard infertility therapy such as CC improves ovulation and pregnancy rates. Our current review analyzes the contemporary knowledge of PCOS etiology and etiopathogenesis, its cardiometabolic risks and their outcomes, as well as therapeutic advances for women with PCOS.
The efficient, selective, and economical sorbents for the removal of Sr radionuclides are largely needed for the decontamination of effluents with high salinity. In this study, the removal of Sr was investigated using the zeolite produced from the Bayer process liquids. Based on the XRD, SEM/EDS analysis, the product was pure and highly crystalline zeolite 4A (Z4A). Removal of Sr was fast (5 min for 100% removal at 8.80 mg/L), with high maximum sorption capacity (252.5 mg/L), and independent on the initial pH in the range 3.5–9.0. Specific sorption of Sr by protonated groups on the Z4A surface was operating in addition to ion-exchange with Na ions. The selectivity of Z4A decreased in the order Sr > Ca > K > Mg > Na. 84% of Sr was separated from seawater within 5 min, at the Z4A dose of 5 g/L, while efficiency increased to 99% using the dose of 20 g/L. Desorption of radioisotope 89 Sr from seawater/Z4A solid residue was very low in deionized water (0.1–0.2%) and groundwater (0.7%) during 60 days of leaching. Z4A is a cost-effective, selective, and high-capacity medium for Sr removal, which provides high stability of retained radionuclides.
The efficient, selective, and economical sorbents for the removal of Sr radionuclides are largely needed for the decontamination of effluents with high salinity. In this study, the removal of Sr was investigated using the zeolite produced from the Bayer process liquids. Based on the XRD, SEM/EDS analysis, the product was pure and highly crystalline zeolite 4A (Z4A). Removal of Sr was fast (5 min for 100% removal at 8.80 mg/L), with high maximum sorption capacity (252.5 mg/L), and independent on the initial pH in the range 3.5–9.0. Specific sorption of Sr by protonated groups on the Z4A surface was operating in addition to ion-exchange with Na ions. The selectivity of Z4A decreased in the order Sr > Ca > K > Mg > Na. 84% of Sr was separated from seawater within 5 min, at the Z4A dose of 5 g/L, while efficiency increased to 99% using the dose of 20 g/L. Desorption of radioisotope 89Sr from seawater/Z4A solid residue was very low in deionized water (0.1–0.2%) and groundwater (0.7%) during 60 days of leaching. Z4A is a cost-effective, selective, and high-capacity medium for Sr removal, which provides high stability of retained radionuclides.
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