Data on the immune response to West Nile virus (WNV) are limited. We analyzed the antiviral cytokine response in serum and cerebrospinal fluid (CSF) samples of patients with WNV fever and WNV neuroinvasive disease using a multiplex bead-based assay for the simultaneous quantification of 13 human cytokines. The panel included cytokines associated with innate and early pro-inflammatory immune responses (TNF-α/IL-6), Th1 (IL-2/IFN-γ), Th2 (IL-4/IL-5/IL-9/IL-13), Th17 immune response (IL-17A/IL-17F/IL-21/IL-22) and the key anti-inflammatory cytokine IL-10. Elevated levels of IFN-γ were detected in 71.7% of CSF and 22.7% of serum samples (p = 0.003). Expression of IL-2/IL-4/TNF-α and Th1 17 cytokines (IL-17A/IL-17F/IL-21) was detected in the serum but not in the CSF (except one positive CSF sample for IL-17F/IL-4). While IL-6 levels were markedly higher in the CSF compared to serum (CSF median 2036.71, IQR 213.82–6190.50; serum median 24.48, IQR 11.93–49.81; p < 0.001), no difference in the IL-13/IL-9/IL-10/IFN-γ/IL-22 levels in serum/CSF was found. In conclusion, increased concentrations of the key cytokines associated with innate and early acute phase responses (IL-6) and Th1 type immune responses (IFN-γ) were found in the CNS of patients with WNV infection. In contrast, expression of the key T-cell growth factor IL-2, Th17 cytokines, a Th2 cytokine IL-4 and the proinflammatory cytokine TNF-α appear to be concentrated mainly in the periphery.

Reduced maintenance costs of concrete structures can be ensured by efficient and comprehensive condition assessment. Ground-penetrating radar (GPR) has been widely used in the condition assessment of reinforced concrete structures and it provides completely non-destructive results in real-time. It is mainly used for locating reinforcement and determining concrete cover thickness. More recently, research has focused on the possibility of using GPR for reinforcement corrosion assessment. In this paper, an overview of the application of GPR in corrosion assessment of concrete is presented. A literature search and study selection methodology were used to identify the relevant studies. First, the laboratory studies are shown. After that, the studies for the application on real structures are presented. The results have shown that the laboratory studies have not fully illuminated the influence of the corrosion process on the GPR signal. Also, no clear relationship was reported between the results of the laboratory studies and the on-site inspection. Although the GPR has a long history in the condition assessment of structures, it needs more laboratory investigations to clarify the influence of the corrosion process on the GPR signal.

A R T I C L E I N F O A B S T R A C T Article history: Received: 14 December, 2020 Accepted: 19 January, 2021 Online: 05 February, 2021 A comparative analysis of formulas for blast wave overpressure is presented in the paper, and models were compared with available experimental data. The Kinney and Shin models show the best agreement with experimental data (Kingery-Bulmash) for free airburst, while for surface burst, Swisdak, Vanuci, and Jeon models predict test data most accurately. One of the novelties in the paper is introduction of new exponential and power functions for blast overpressure estimation, giving good agreement with experimental data. Also, several numerical simulations of free airburst explosions were performed to introduce methodology, and compare the data obtained with experimental data. A detailed description of the procedure for these simulations was provided – a contribution to numerical modeling of blast wave phenomena.

The study of atomic spectra is one of the key subjects in teaching physics. It represents a combination of topics such as wave physics, atomic physics, particle physics, etc. Because of its complexity, it takes a well-prepared student and a very creative and resourceful teacher for this subject to be adequately understood and comprehended. This article presents theoretical background with key points in physics that help teachers to better organize their preparation for students and different experimental sets for this specific experiment, such as Nikola Tesla’s transformer or some other high-voltage transformers. Another point of view for this experiment is a variety of subexperiment possibilities to choose from in the execution of this practical exercise. This article also brings some difficulties that both teachers and students experience while preparing or doing this experiment, such as lack of more profound quantum physics knowledge since the conventional approach in teaching this specific topic in high schools and universities focuses on an introductory course in the history of this topic-oriented towards early years of the 20th century.

There are several theoretical models proposing dark matter candidates as well as different experimental searches for dark matter, collider, and non-collider ones. One of the most intriguing dark matter candidates is missing information in the cosmos. This is based on the mass-energy-information equivalence principle presented by M Vopson [1]. This review presents the historical development of this principle from its roots in the 1960s when Landauer principle was firstly presented to the latest data on the estimated value of the mass of one bit of information as well as data on missing energy as potential dark matter. Another theoretical discussion presented here is the reformulation of the second law of thermodynamics as a possible step to great unification. In addition to this theoretical postulation with a mathematical presentation focusing on statistics, we present some of the proposed experiments in this field. Two major proposals are in the direction of using an ultra-accurate balance with measurement uncertainty low enough to be comparable with proposed theoretical limits, and originally developed sensitive interferometer similar to the one in LIGO experiment.

Dark matter as one of the cosmos’ ingredients or constituents has been searched for in various experiments. This review presents some of the searches for dark matter while focusing on the LHC mainly. In order to present various searches, it describes theoretical models followed by experimental verification. Since there are three types of searches, among which most significant are direct and indirect ones, we will give an overview and short comparison between the two, with an emphasis on the advantages and disadvantages of collider and non-collider searches. This review brings an argumentative approach for the collider’s point of view since searches for dark matter in colliders are veritably ambitious regarding direct and indirect Dark Matter detection methods. LHC starts its Run 3 in 2021, and here we present results from the ATLAS experiment from Run 2 and bring some theoretical expectations from LHC in Run 3.

The present review paper provides a systematic insight into the studies published so far when it comes to the research on the cost and performance optimisation in the parcel delivery phase. Globalisation, as well as the new trends, such as selling online, directly influences the demands for the delivery of goods. Demand for the delivery of goods proportionally affects the transport prices. A great majority of deliveries is carried out in densely populated urban areas. In terms of costs, the greatest part in the courier organisations costs is observed in the technological phase of parcel delivery, which is at the same time the least efficient. For that reason, significant improvement of performance and cost optimisation in the very delivery phase is a rather challenging field for the researchers. New algorithm-based technologies, innovations in the logistics and outsourcing of individual technological phases are ways by means of which one strives to enhance the delivery efficiency, to improve performance and quality, but also to optimise the costs in the last phase of delivery. The aim of the present paper is to offer a systematic review into the most recent research in the field of technology, innovations and outsourcing models with the aim of reducing the cost and enhancing the productivity and quality in parcel delivery.

Objectives: To avoid hospital spread of Coronavirus-2019 (COVID-19) and to analyze out of hospital outcomes after amputation. Methods: Prospective analysis of data obtained from 60 diabetic patients in 2020 was performed at Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina. Personal protection equipment included double surgical mask, glasses, disposable surgical coats, and surgical masks for patients. Swabs were used to take samples from wounds. We randomly divided patients in 2 groups of 30 patients each. In pre-operative treatment, we used local anesthesia lidocaine hydrochloride 2% (Belupo, Koprivnica, Croatia) in group A and systemic analgesia intravenous tramadol chloride 100 mg intravenous (Krka, Novo Mesto, Slovenia) in group B. Wounds were surgically treated each day and heal spontaneously. Periodical control exams were performed. Results: Wound healing did not present any statistically significant differences between groups (group A: 69±21.97 and B: 61±22.13 days, t=−1.22; p=0.11). No statistically significant differences (p<0.05) between groups A and B in wound healing regarding to gender or cigarette use was noted. Conclusion: No significant differences in amputation treatment between the 2 comparative groups were noted. No confirmed COVID-19 infections in medical staff who performed surgical interventions or in treated patients were detected.

Based on the computed tomography (CT) images it is not possible to see all the lymph nodes that belong to the stomach. In radiotherapy, for a clinical target volume (CTV) delineation based on CT images, it is necessary to determine the appropriate margin around the corresponding blood vessels to make sure that all the required lymph nodes will be irradiated. The larger margin will certainly cover all the lymph nodes but it can also produce an increase of the received dose in the normal tissues. While a smaller margin can eventually spare the normal structures as a consequence it brings a higher risk of missing the suspected lymph nodes. The aim of this study was to analyse the radiation doses received by some organs at risk (OARs) in the case of the three-dimensional conformal radiotherapy (3DCRT) treatment of the gastric cancer, for lymph node CTV margin sizes 5 mm, 7 mm and 10 mm. The study included 40 patients undergo the external beam radiotherapy (EBRT) treatment of gastric cancer. The one-way analysis of variance (ANOVA) with repeated measures test and Friedman’s nonparametric test have been used for testing the statistical significance of differences among the examined groups. The difference between the examined groups has been considered significant if p < 0.05. The statistically significant differences in the dose contributions to the observed OARs (spinal cord, heart, small bowel and colon), among the examined CTVs, were found.

This research aimed to determine the differences between the junior (U20) water polo players of national teams of Montenegro, and Australia regarding their anthropometric characteristics and body composition. The first sub-sample of the subjects consisted of 18 water polo players of the Montenegrin national team, who occupied the sixth position on the FINA World Men’s Junior Water Polo Championship in Kuwait 2019. The second sub-sample consisted of 13 water polo players of the Australian national team, who occupied the eleventh position on the championship. The players were tested at the final preparations just before the World Championship. Anthropometric characteristics were evaluated using a battery of eight tests: body height, body weight, triceps skinfold, biceps skinfold, skinfold of the back, abdominal skinfold, upper-leg skinfold, lower leg skinfold; body composition was evaluated using a battery of three tests: body mass index, fat percentage, and muscle mass. The results of the t-test revealed that the water polo players of the two national teams do not have statistically significant differences in the variables. The results obtained in this research showed average team values for the estimated variables of water polo players of the two national teams (U20) who participated in the World Championship. That can serve as possible model parameters for all teams who want to participate in the U20 water polo World Championship. Differences in classification among water polo players may be related to the motor abilities, as well as technical and tactical parameters, as their anthropometric parameters were found to be similar.

Background Cancer patients are particularly vulnerable to COVID-19, partially owing to their compromised immune systems and curbed or cut cancer healthcare services caused by the pandemic. As a result, cancer caregivers may have to shoulder triple crises: the COVID-19 pandemic, pronounced healthcare needs from the patient, and elevated need for care from within. While technology-based health interventions have the potential to address unique challenges cancer caregivers face amid COVID-19, limited insights are available. Thus, to bridge this gap, we aim to identify technology-based interventions designed for cancer caregivers and report the characteristics and effects of these interventions concerning cancer caregivers' distinctive challenges amid COVID-19. Methods A systematic search of the literature will be conducted in PubMed, PsycINFO, CINAHL, and Scopus from the database inception to the end of March 2021. Articles that center on technology-based interventions for cancer caregivers will be included in the review. The search strategy will be developed in consultation with an academic librarian who is experienced in systematic review studies. Titles, abstracts, and full-text articles will be screened against eligibility criteria developed a priori. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses procedures will be followed for the reporting process. Conclusions COVID-19 has upended cancer care as we know it. Findings of this study can shed light on evidence-based and practical solutions cancer caregivers can utilize to mitigate the unique challenges they face amid COVID-19. Furthermore, results of this study will also offer valuable insights for researchers who aim to develop interventions for cancer caregivers in the context of COVID-19. In addition, we also expect to be able to identify areas for improvement that need to be addressed in order for health experts to more adequately help cancer caregivers weather the storm of global health crises like COVID-19 and beyond. Systematic review registration PROSPERO CRD42020196301

Dental academic institutions are affected by COVID-19. We assessed the perceived COVID-19 preparedness of these institutions and the characteristics of institutions with greater perceived preparedness. An international cross-sectional survey of dental academics was conducted from March to August 2020 to assess academics’ and institutional attributes, perceived preparedness, and availability of infection prevention and control (IPC) equipment. Principal component analysis (PCA) identified perceived preparedness components. Multilevel linear regression analysis assessed the association between perceived preparedness and fixed effect factors (academics’ and institutions’ attributes) with countries as random effect variable. Of the 1820 dental academics from 28 countries, 78.4% worked in public institutions and 75.2% reported temporary closure. PCA showed five components: clinic apparel, measures before and after patient care, institutional policies, and availability of IPC equipment. Significantly less perceived preparedness was reported in lower-middle income (LMICs) (B = −1.31, p = 0.006) and upper-middle income (UMICs) (B = −0.98, p = 0.02) countries than in high-income countries (HICs), in teaching only (B = −0.55, p < 0.0001) and in research only (B = −1.22, p = 0.003) than teaching and research institutions and in institutions receiving ≤100 patients daily than those receiving >100 patients (B = −0.38, p < 0.0001). More perceived preparedness was reported by academics with administrative roles (B = 0.59, p < 0.0001). Academics from low-income countries (LICs) and LMICs reported less availability of clinic apparel, IPC equipment, measures before patient care, and institutional policies but more measures during patient care. There was greater perceived preparedness in HICs and institutions with greater involvement in teaching, research, and patient care.

Background: Cardiac myxoma is the most common benign tumor of the heart. It presents with a variety of clinical signs and symptomatology making diagnosis frequently quite a challenge. Objective: The aim of this article is to present a case report of giant right atrial myxoma with symptoms of right heart failure in adult patient. Case report: We present a case of large right atrial myxoma which is an uncommon location for this type of heart neoplasms, discovered incidentally in a female patient 77-year-old who came to our polyclinic for cardiological exam with hypertension last 11 years and obesity. Results and Discussion: Various clinical signs and symptoms produced by cardiac myxomas have been reported in the literature. Depending on location and morphology, cardiac tumors can produce four types of clinical manifestations: systemic-constitutional, embolic, cardiac, and secondary metastatic manifestation. Echocardiography as non-invasive imaging method and Transesophageal echocardiography has superior role for precise evaluation of cardiac tumors. Transesophageal echocardiography has superior role for accurate diagnostic evaluation of cardiac mass. Surgical excision of cardiac myxoma carries a low-operative risk and gives excellent short- and long-term results. Conclusion: Myxoma is the most prevalent primary heart tumor. It is rare to find a myxoma in the right atrium, occurring only in 15-20% of myxoma cases. Clinical manifestations of myxomas consist in a triad: constitutional symptoms, embolization and intracardiac obstruction. Transesophageal echocardiography has superior role for precise evaluation of cardiac tumors. Currently, there is no effective medical treatment, and surgical excision of the tumor is necessary.