Introduction: There are many ethical and moral dilemmas regarding the termination of pregnancy(TOP) with severe fetal anomalies. Aim: Our aim is to present a case of severe fetal hydrocephalus (HCP), spina bifida aperta and, meningomyelocoella (MMC). Case report: A gynecologist examined a 23-year-old patient with vital pregnancy of 24/25 week of gestation (WG) with the anomaly of the fetus. At the Perinatological Medical Advisory Board, a decision was made that the pregnancy should be continued and monitored bearing in mind that pregnancy exceeded the legal framework for TOP. Medical Advisory Board’s ultrasound examination showed the following: severe hydrocephalus (HCP), spina bifida aperta, hyperehogen intestine, pes equinovarus. Via multidisciplinary consultation it was decided to make a delivery with the elective caesarian section (CS) causing as little trauma to the fetus as possible, with 37 WG completed due to the pelvic presentation and fetal anomalies. The patient gave birth via CS to a live female newborn–birth weight 3920 grams, birth length 56 cm, head circumference 48 cm, and Apgar score 8/8. The head was hydrocephalic with spaced suture. There was thoracolumbar defect of spina bifida aperta and meningomyelocele (MMC) 10x12 cm in size. An urgent surgical procedure - the external ventricular derivation of the liquor, and then the successful resection and plastic meningomyelocele was performed by a team of neuro and plastic surgeons. During the fourth postoperative day due to a suspicion of abscess collection and febrility of the mother a relaparotomy is performed and the abscess collection of Retzius space was found. Due to the fall in blood count, blood transfusion in a total dose of 580 ml was given. The patient was discharged on a home treatment as she had a regular general and local status. After the surgery, the condition of the newborn resulted in deterioration, the progression of HCP and dehiscence of head wounds and the thoracolumbar region, in spite of all the measures taken. At that time a decision was made to provide palliative care and this decision was conveyed to the mother. The child had a prolonged apnoeic episode and was not resuscitated. The child died in hospital after surviving for two months postpartum. Conclusion: Indication of TOP based on fetal anomalies could be a medical decision but also a personal moral choice of the mother related to legal rules, socio-cultural values and religious beliefs.
The beginning of modern history and the subsequent war in Bosnia and Herzegovina coincide with the institutional beginnings of the European Union common foreign and security policy. At that time, Europe did not have a single position, nor could it have achieved a political consensus on any issue. In addition, it lacked appropriate instruments, as well as readiness and willingness to actively engage to put an end to war in BiH. The war in BiH was stopped, however, thanks to the efforts of the United States. This was a crucial moment for Europe to modify its common foreign and security policy. The European Union has passed a thorny path of establishing common foreign and security policy. On this path, however, the EU has experienced some progress and achieved good results, although not sufficient, just as BiH has made some progress in reforms. In order for BiH to joint the family of modern democratic countries, it will need a stronger engagement of the European Union and its more decisive common foreign and security policy, because only together we can cope with global challenges. Peace and prosperity in Bosnia and Herzegovina will also help build free and stable Europe.
This is the first study on ultrasound-assisted extraction (UAE) of bioactive compounds from different types of tobacco industry wastes (scrap, dust, and midrib). The obtained results were compared with starting raw material (tobacco leaves) to see the changes in bioactive compounds during tobacco processing. Results suggested that tobacco waste extracts possess antioxidant activity and considerable amounts of targeted bioactive compounds (phenolics and solanesol). The content of chlorogenic acid varied between 3.64 and 804.2 μg/mL, caffeic acid between 2.34 and 10.8 μg/mL, rutin between 11.56 and 93.7 μg/mL, and solanesol between 294.9 and 598.9 μg/mL for waste and leaf extracts, respectively. There were noticeable differences between bioactive compounds content and antioxidant activity in extracts related to applied UAE conditions and the used type of tobacco waste. Results show that optimal UAE parameters obtained by response surface methodology (RSM) were different for each type of material, so process optimization proved to be necessary. Considering that tobacco waste is mostly discarded or not effectively utilized, the results clearly show that tobacco waste could be used as a potential source of some bioactive compounds.
This study analyzes the impact of conventional index (SASX-30) on Islamic index (SASE-BBI) in Bosnia and Herzegovina. In the study are used daily index observations spanning in a period from October 2016 until May 2018. The data is obtained from the Sarajevo Stock Exchange database. Vector Auto-regression analysis (VAR) and Impulse response functions are used in order to estimate the impact. The results show that there is a significant negative impact of conventional index volatility (SASX-30) on Islamic index volatility (SASX-BBI) in Bosnia and Herzegovina.
CONCLUSION: The data suggest that 3 days of voice rest followed by voice therapy may lead to better wound healing of the vocal fold compared to 7 days of voice rest. METHODS: Patients undergoing phonomicrosurgery for leukoplakia, carcinoma in situ, vocal fold polyp, Reinke's edema, and cyst were chosen. Participants were randomly assigned to voice rest for 3 or 7 postoperative days. Voice therapy was administered to both groups after voice rest. Grade, roughness, breathiness, asthenia, and strain (GRBAS) scale, stroboscopic examination and Voice Handicap Index-10 (VHI-10) were performed pre- and postoperatively at 1, 3, and 6 months. Stroboscopic examination evaluated normalized mucosal wave amplitude (NMWA). Parameters were compared between both groups. RESULTS: Thirty patients were analyzed (3-day group, n = 18; 7-day group, n = 12). Jitter, shimmer, and VHI-10 were significantly better in the 3-day group at 1 month post operation. GRBAS was significantly better in the 3-day group at 1 and 3 months post operation, and NMWA was significantly better in the 3-day group at 1, 3, and 6 months post operation compared to the 7-day group.
In this study, we analyzed the emotional and conative characteristics of fourth grade students of elementary school as follows: motivation for learning math, situational interest in learning mathematics during teaching, mathematics anxiety, self-esteem in relation to academic achievement and attributions of success and failure in mathematics. In a sample of 200 students and 20 teachers were analyzed emotional and conative characteristics capable of above-average and below average in math-age students. The study used the descriptive method, a questionnaire and a test. The research results are presented graphically and in tabular form with an explanation and discussion. In the conclusion are set the directions which should further improve this insufficiently studied area.
1University Clinical Center Sarajevo, Sarajevo School of Science of Technology, Sarajevo, Bosnia and Herzegovina 2University Clinical Center Sarajevo, Sarajevo, Bosnia and Herzegovina KeYWORdS: prosthetic valve thrombosis, thrombolytic drug. citAtiON: Cardiol Croat. 2019;14(3-4):47. | https://doi.org/10.15836/ccar2019.47 *AddReSS FOR cORReSPONdeNce: Behija Hukeljić Berberović, Klinički centar Univerziteta u Sarajevu, Bolnička 25, 71000 Sarajevo, Bosnia and Herzegovina. / Phone: +387-33-297941. Fax: +387-33-298-522 / E-mail: behijaberberovic@yahoo.com ORcid: Behija Hukeljić Berberović, https://orcid.org/0000-0001-9583-4523 • Nermir Granov, https://orcid.org/0000-0002-6228-6230 Zina Lazović, https://orcid.org/0000-0002-0285-9631 • Lejla Divović, https://orcid.org/0000-0002-7953-9601 Omer Perva, https://orcid.org/0000-0003-2645-1558
The paper deals with the three-dimensional (3D) modelling based on data acquired from 2D laser sensor and IMU (Inertial Measurement Unit) attached to the UAV (Unmanned Aerial Vehicle). The used multi-sensor unit produces 2D scans and provides information about Euler angles or quaternions. These angles are used to describe the UAV orientation in 3D space, more precisely the orientation of the laser sensor. In order to generate 3D occupancy map it is necessary to rotate the laser sensor around its axis yielding the 2D scans being mapped on 3D space using quaternions. Inertial sensor and Sweep LiDAR laser measurements are transmitted to the single board computer Odroid XU4 (SBC). The data fusion was performed under ROS (Robot Operating System) installed on the SBC, producing 3D space points. These points are transmitted over the network to the central computer on which the UAV localization and mapping processes are done within the ROS. The effectiveness of the proposed system for 3D modelling of the UAV environment is verified by experiment.
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