Background: Stump appendicitis is an acute inflammation of the residual part of the appendix and a rare complication of incomplete appendectomy. This is a rare delayed complication after appendectomy with the reported incidence of 1 in 50,000 cases. Clinically it can be presented as acute abdomen and presents a diagnostic dilemma. Prompt recognition is important to lead to an early treatment, thus avoiding serious complications. Case study: We present a 14-year-old girl with diagnosis of stump appendicitis, who underwent surgical treatment (open appendectomy) after having laparoscopic appendectomy a month before. Radiologically (UZV and CT scan) was diagnosed an inflammatory mass with abscess dimension 41 x 21 mm in the right iliac fossa. During operation a 1,5 cm-diameter appendiceal stump was noted in the anatomical region of the appendix. The appendiceal stump was resected and inverted into the cecal wall. Histopathology examination showed acute inflammation and patchy necrosis of the appendiceal stump. The post-operative course was uneventful. Patient was discharged on third post-operative day. Conclusion: Stump appendicitis is a rare but serious complication of appendectomy. The prevalence and incidence of stump appendicitis has been increasing in the recent years. Clinical presentation of stump appendicitis mimics symptoms and signs of acute appendicitis or acute abdomen and with a previous appendectomy. So it must be considered in the differential diagnosis of acute abdomen despite the patient’s open or especially laparoscopic appendectomy history.
Objectives To determine the optimal cut-off points of handgrip strength (HGS) to identify the undernutrition risk among individuals older than 65 years of age in Bosnia and Herzegovina. Design Cross-sectional study. Setting Towns of Sarajevo, Foca, Rogatica, and Pale in Bosnia and Herzegovina. Participants 300 community-dwelling older adults and 146 nursing home residents. Comprehensive Geriatric multidimensional assessment (CGA) was carried out to evaluate general health, functional, and cognitive capabilities. Nutritional status and undernutrition risk were assessed by Mini Nutritional Assessment (MNA) and Seniors in the Community: risk evaluation for eating and nutrition, version II (SCREEN II). HGS was measured with a Smedley dynamometer. Results According to the classification of nutritional status by MNA, 42% of community-dwelling men and 39% of community-dwelling women were at undernutrition risk. The undernutrition risk was significantly higher among nursing home residing men (89%) and women (78%) (p < 0.001). When nutritional status was assessed by SCREEN II, 100% on nursing home residents, 86% of community-dwelling men and 80% of women were identified as having a high risk for undernutrition. Per MNA, HGS cut-off thresholds were 23.50 kgF (65–74 years) and 19.50 kgF (≥75 years) for men; 15.50 kgF (65–74 years) and 13.50 kgF (≥75 years) for women. Per SCREEN II, cut-points were 28.50 kgF (65–74 years) and 24.50 kgF (≥75 years) for men; 24.50 kgF (65–74 years), 19.50 kgF (≥75 years for women). Conclusion HGS can be a useful instrument to identify undernutrition risk among the elderly patients. This study provides threshold for men and women older than 65 years of age in Bosnia and Herzegovina.
Since the creation of football fan groups, music and fan practices have been inseparably linked everywhere in the world. This paper will highlight the importance of punk music and other content that personify this specific urban subculture for a particular group of Gravediggers, respectively fans of JSD Partizan. The research was inspired by the appearance of punk rock band Grupa JNA (JNA Group), whose music is solely dedicated to Partizan and Gravediggers, but also to the already developed tradition of fanzine making and graffiti drawing that has flourished over the past few years, thanks primarily to the multimedia group Grobarski Trash Romanticism. We will try to find an answer to how punk as an idea and practice fits into the abstract idea of Partizan as something that so tightly connects a large number of individuals and again among them evokes an unfamiliar “sublime emotion”, unknown to non-fans.
1 Department of Chemistry, Faculty of Science, University of Sarajevo, Zmaja od Bosne 33-35, 71 000 Sarajevo, Bosnia and Herzegovina; 2 Faculty of Chemistry and Technology, University of Split, Teslina 10, 21 000 Split, Croatia; 3 Department of Biology, Faculty of Science, University of Sarajevo, Zmaja od Bosne 33-35, 71 000 Sarajevo, Bosnia and Herzegovina; 4 Clinical Center of the University of Sarajevo, Organizational unit Clinical chemistry and biochemistry, Bolnička 25, 71 000 Sarajevo, Bosnia and Herzegovina; 5 Faculty of Pharmacy, University of Sarajevo, Zmaja od Bosne 8, 71 000 Sarajevo, Bosnia and Herzegovina; E-mail: islamovic.safija@gmail.com
Paper represents comparative analysis of SCRUM and Kanban on the example of building a Learning Management System. According to calculations Kanban gave better results when time is not limiting factor and the project would end two months earlier. On the other hand, when it is necessary to carry out detailed monitoring and focus on time Scrum has yielded slightly better results. These results provide guidance that can help decide the method for a particular project.
Software Defined Networking (SDN) is considered as a promising solution for optimizing network energy consumption. This paper analyzes possible energy savings that could be achieved by turning off underutilized network links. It presents the energy consumption of a real IP/MPLS network and issues that prevent IP/MPLS from being more energy efficient. The paper proposes the SDN as an approach with a global view of the network and easier link management. A small experiment shows how easy it is for SDN to monitor and shut down unneeded links. This could enable a significant energy saving when using an SDN solution.
Blockchains are established as the most widely used P2P distributed application for Distributed Ledger Technologies. Nevertheless, their successful existence, especially known due to the cryptocurrency of Bitcoin, gets more and more competitors. One of those competitors is IOTA, which is based on a tangle or a Directed Acyclic Graph architecture. This paper stresses potentials of such architecture,especially in future IoT applications. In particular, few of the most import security issues are analyzed.
As the evolving communication standards would leverage on high data rates and low power consumption, future communication systems must be able to demonstrate these strengths. Space-time block codes (STBC) and quasi-orthogonal STBC (QO-STBC) including beamforming are multiple-input multiple output (MIMO) system design techniques used to improve data rates and reduce bit error ratio (BER). STBCs for larger antenna configurations use QO-STBC schemes which suffer from self-interference problems. The self-interference in QO-STBC systems diminishes the data rates and worsen the BER. In this study, we present three (3) methods of overcoming the self-interference problems in QO-STBC systems. We implement the interference-free QO-STBC systems with directional beamforming to improve the data rates and also reduce the BER. The results show significantly improved BER performance when the interferences are eliminated. An additional 3dB gain is achieved at 10-4 BER when the interference-free QO-STBCs are operated with directional beamforming. In terms of data rates, up to 6 bits/s at reasonably low power consumption are realized when the Hadamard-based QO-STBC is operated with directional beamforming.
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