Increasing popularity of online banking systems instead of traditional branch networking requires understanding customer behaviors as users of such systems. This research aims to investigate online banking acceptance among Bosnian university students by considering system, user, acceptance and performance related factors by considering a new relationship between perceived system security and perceived system quality. According to the results, the users perceive that (1) online banking system is not secure and poorly qualified but useful and easy to use; (2) the users themselves are slightly capable of using the system; (3) they have intention to use the system but don’t use the system; and (4) they are slightly satisfied with the system and increase their benefits. The results also provide that all hypotheses except the relationship between perceived ease of use and intention to use are supported. Perceived System Security, as a new dimension, is found to have positive effect on Perceived System Quality. It can be implied that if the system is qualified and the users are self-efficient about using the system, they perceive the system as easy to use and useful. It is suggested that banks better take necessary steps to persuade their customers about the system security and usefulness in completing their tasks.
Objective: To investigate possible prognostic values of CD4+, CD8+ T-lymphocytes, CD4/CD8 ratio to clinical course of chickenpox in immunocompetent hosts. Materials and methods: We performed a prospective study which included 69 immunocompetent patients with chickenpox who were addmited to Clinic for infectious disease, Clinical Center University of Sarajevo, in a 18 month period. All patients were divided into two groups depending on clinical presentation on admission. Patients with mild clinical form were dedicated to „outpatient” group, and patients with moderate, severe or life-threatening clinical forms were dedicated to „hospitalized” group. Also 30 healthy volunteers are included in study as a control group. We analyzed values of CD4+, CD8+ percentage, CD4/CD8 ratio with comparison to clinical course of chickenpox. All specimens were taken in acute phase of illness. Results: Values of CD4+ percentage were significantly declined in a group of hospitalized patients, compared to group of outpatients and control group. Values of CD8+ percentage were higher in a group of hospitalized patients, while CD4/CD8 values were lower in comparison to a group of outpatients and control group. Conclusion: We found significant correlation between these parameters and clinical course of chickenpox.
The current failures in income distribution among communities, social entrepreneurs and start-up founders result from deficit of money for accessing goods and services. However, it is increasingly recognized that money has the potential to be redesigned in order to serve a different purpose and to adapt to the emerging paradigm of the collaborative economy. Within this context, this article presents a study aimed to explore complementary currency systems as resilient strategies. This is done by adopting a service design perspective to analyse case studies from developing and developed economies. Both contexts are investigated in order to identify whether the case studies are founded by individuals, communities or governments. Furthermore, organizational models, as well as the main motivations and conditions for the emergence of these alternative economic models, are examined. Moreover, the key drivers for creating complementary currency systems are highlighted. For instance, in the developing world, those systems stem from the need for establishing financial inclusion and building stronger trust and community ties. Instead, in developed economies, they rise in order to use existing local resources, foster individual empowerment, enhance collaboration with a community, as well as achieve economic benefit. Complementary currency systems are here proposed as a tool for linking unmet needs with unused resources. They also enable informal financial institutions contributing to behavioural change through meritocracy. Once those systems are designed as small-scale initiatives, prototyped and implemented in different communities, they have the potential to become effective strategies for subversion and intervention. The case studies show that equal participation and local empowerment can lead to proactive democratic models increasing economic stability. In conclusion, this article argues that service design, through systems of permanent or temporary access to credit, not only responds to contemporary socio-economic conditions, but also contributes to shape new ways of practicing democratized economics.
Myotonic dystrophy type 2 (DM2) is a multisystem disorder that affects many organs and systems, including the brain. The objective is to analyze personality patterns in myotonic dystrophy type 2 (DM2) compared to DM1 control group. The study comprised 27 consecutive genetically confirmed DM2 patients and control group of 44 DM1 patients. Personality traits were assessed with the Millon Multiaxial Clinical Inventory III (MMCI III). In DM2 group there were no scale with pathological scores, although compulsive and paranoid traits were the most prominent. DM2 patients had lower scores compared to DM1 patients in almost all scales. Pathological scores on clinical symptom scales were not observed, although anxiety scale almost approached this value. Patients with higher compulsive score had higher level of education (rho = +0.53, p < 0.01). On the other hand, higher paranoid score correlated with younger age at onset (rho = -0.34, p < 0.01) and lower educational level (rho = -0.26, p < 0.05). Our results did not show significant personality impairments in patients with DM2. However, following personality traits were predominant: compulsive (in patients with higher education) and paranoid (in patients with lower education and earlier age at onset). The most common clinical symptoms were anxiety and somatization.
Goal: The goal of this study was the determination of the effects in treatment of early stage (<IIB) and locally advanced stages (≥IIB) of uterine cervical carcinoma by using MRI. Material and Methods: The study was a prospective, comparative, analytical, and observational and included 74 patients with cervical cancer (PH confirmed). All 74 patients have initially gone through the pre-therapeutic MRI to determine the tumour FIGO stage. At a renewal of the initial MRI findings, patients were divided into two study groups: group A and group B. Group A consisted from 39 patients with early-stage cervical carcinoma (<IIB) and group B comprised from 35 patients with locally advanced stage (≥IIB). Postterapeutic MRI control, were perfomed in both group (A and B). Further MRI examinations were set for the patients from both groups. Results: An analysis of treatment outcomes in group A showed that most patients had no local recurrence or residuum disease in 89.7%, while local recurrence was observed in only 10.3% cases. An analysis of treatment outcomes in group B showed that most patients had complete regression after local chemoradiotherapy in 68.8%, while 25.7% of patients had local progression of the disease, while the 5.7% cases recorded partial local tumour regression(p<0.05). It has been shown that a complete local regression was more frequent in the case of squamous cell carcinoma in 74.2% vs 25% in adenocarcinoma cases. Also local and partial regression was observed more frequently in the case of squamous cell carcinoma in 6.5% compared to 0% in adenocarcinoma, while progression was more common in adenocarcinoma at 75% compared to 19.4% for squamous cell (p<0.05). MRI results showed positive outcome of treatment group A and B in our study, showed a statistically significant difference in favour of group A (89.7%) compared to group B 68.8% (p<0.05). Conclusion: The results obtained from our studies show that early stage cervical cancer (<IIB) shows a better outcome in treatment of advanced stages (≥IIB). In the treatment of advanced stages (≥IIB), concomitant radio chemotherapy shows significant results in terms of complete tumour regression, especially in squamous cell type of cervical cancer.
Objective: This study objective was to evaluate interobserver agreement between individual pairs of three nuclear medicine physicians in interpretation of renal cortical scintigraphy in children with respect to the mode of acquisition (planar vs. SPECT), diagnoses and kidney site (left vs. right). Materials and Methods: Thirty children were imaged in planar and SPECT mode per protocol upon the injection of Tc-99m DMSA dose adjusted to their body weight. Patients were classified according to diagnoses into four groups. Three nuclear medicine physicians interpreted the findings blindly and independently. Renal defects were interpreted as focal and diffuse, per three renal segments. For the raters we calculated simple percentage agreement, the Cohen kappa statistic with 95% confidence intervals, and the overall kappa defining the levels of reliability as almost perfect or perfect, substantial, moderate, fair and slight agreement. Results: Interobserver agreement in planar interpretation was 77,2% (kappa=0.59; 95% confidence interval, 0.41 to 0.75) and SPECT 72,9% (kappa= 0,57; 95% confidence interval, 0,41 to 0,72). In planar interpretation, all individual pairs had moderate agreements except one that had a substantial agreement. In SPECT, all the pairs had moderate agreements except one that had an almost perfect agreement. Overall agreement per kidney site was on planar 73,4% for the left (kappa=0,54, moderate agreement), and 81,1% for the right kidney (kappa 0,63, substantial agreement). On SPECT, there was 72,2% agreement for the left (kappa=0,59, mode rate agreement), and 73,7% for the right kidney (kappa=0,54, moderate agreement). Overall agreement per diagnoses ranged from 70-88,9% on planar (kappa= -0,04 to 0,79), and 50-100% on SPECT (kappa=-0,02-1,000) indicating agreements from slight to substantial. Discussion: Our results suggest acceptable levels of interobserver agreement in all individual pairs of raters with respect to the mode of acquisition (planar vs. SPECT), diagnoses and kidney site (left vs. right). For the mode of acquisition, we would recommend hybrid imaging SPECT/CT method to be used whenever possible in the detection of renal cortical defects on Tc-99m-DMSA scintigraphy.
Poznavanje položajne točnosti geoprostornih informacija o šumama, dobivenih interpretacijom satelitskih snimaka, ima veliko značenje. Posljedice odluka koje su temeljene na podacima nedovoljne ili nepoznate kvalitete mogu biti vrlo negativne. U ovome radu istražena je točnost zatvorenih linijskih objekata kojima su predstavljene granice šumskog pokrova. Implementacijom postupka segmentacije snimke korištenjem svih multispektralnih kanala te klasifikacijom tako definiranih segmenata pomoću posebnih pravila, efikasno su izdvojene površine pod šumama. Empirijskom analizom temeljenom na usporedbi testnog i referentnog linijskog sadržaja, pokazano je da kartografska generalizacija doprinosi poboljšanju točnosti granica šuma, te da adekvatna obrada podataka daljinskih istraživanja srednje prostorne rezolucije može rezultirati vektorskim podacima zadovoljavajuće kvalitete.
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