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Almedina Hajrović, Adela Erović Vranešić, Aldina Alibegović, Arzija Pašalić, Amra Mačak Hadžiomerović, Samir Bojičić

Introduction: Physical activity has a positive effect on the regulation of diabetes mellitus and has been shown to have benefits in improving health. Aim: Examine the effects of physical activity on changes in glycemic parameters (glucose, HbA1C) and inflammatory parameters (leukocyte count (WBC), CRP) before and one month after the exercise program. Material and Methods: The study was designed as a prospective, analytical, and observational study. Results: T-test of paired samples assessed the impact of physical activity on glycemic and inflammatory parameters in subjects with confirmed Diabetes mellitus type 2 and in subjects without confirmed diabetes mellitus type 2. In subjects with confirmed diabetes the value of eta squared (ɳ2 - eta sqared) is 95%, which indicates a significant impact of physical activity on the change in glucose values and on the change of HbA1C value was indicated by the value of eta square of 93%. When it comes to inflammatory parameters, the impact of physical activity was found in the reduced number of WBC (ɳ2 = 88%), and in CRP (ɳ2 = 90%). In subjects without confirmed diabetes mellitus, a significant effect of physical activity on the change in glucose (ɳ2 = 94%) and HbA1C (ɳ2 = 77%). The influence of physical activity on the reduction of leukocyte count was proven by ɳ2 - eta sqared test (ɳ2 = 66%), as well as a decrease in CRP (ɳ2 = 30%). Conclusion: This study showed a significant impact of physical activity on the reduction of elevated glycemic and inflammatory parameters.

D. Nešković Markić, L. Stojanović Bjelić, Slađana Šiljak, Ž. Jovičić, Željka Cvijetić

The municipal solid waste (MSW) landfill is recognized as an anthropogenic source of air pollutants that can have a negative impact on human health and the environment. Workers who work at the MSW landfill may be exposed to risk due to the inhalation of substances such as volatile organic compounds (VOCs). Although VOCs account for 1% in landfill gas, they are important because of the high level of toxicity associated with them. Regular monitoring of air quality and risk assessment provides important information in protecting the health of workers at the landfill. This study focuses on a health risk assessment related to VOCs (benzene, toluene and xylene) exposure via inhalation for workers at a landfill Banja Luka, Republic of Srpska, Bosnia and Herzegovina. Additionally, cancer risk and non-cancer risk of benzene, toluene and xylene of workers indicated that occupational exposures were above recommended standard. This implies that landfill workers are exposed to a significant health risk associated with inhalation exposure to VOCs

Marko Balaban, Valentina Balaban Radić, Draženko Bjelić, Aleksandar Bursać, Milenko Jaćimović, Brankica Gegić, Aleksandar Lukač, D. Marić et al.

Waste disposal is just one of the segments in solid municipal waste management system. During the entire life cycle of waste, starting from waste generation, through storage, collection, transport, recycling, treatment and disposal, several different pollutants are emitted. By disposing solid waste, non-road mobile machinery (NRMM) emits various pollutants into the air such as CO2, CO, NMVOC, PM, PAHs, heavy metals, etc. These substances can pose certain problems for human health and the environment. The subject of this study is the calculation of air emissions of CO2, CH4, N2O, NMVOC, PM10, CO, Cd, Cr and PAHs (chrysene and benz[a]anthracene) from NRMM which are included in the activities of receiving and disposing of waste at the Banja Luka landfill. The study evaluates the emission of pollutants using the EEA guidelines for the assessment of the emission of pollutants into the air, based on the consumption of diesel fuel during the year. This study, which is based on the calculation of NRMM emissions at the Banja Luka landfill, should serve as an example not only to other landfills but also to sectors that use NRMM on the importance of keeping track of pollutant emissions. The goal is to look at these emissions and introduce changes and improvements in this sector by replacing old NRMMs with new ones, optimizing operation, using diesel of satisfactory quality, etc.

S. Makumi, D. Bem, Nicholas Musila, C. Foss, Z. Akšamija

2D materials have attracted broad attention from researchers for their unique electronic properties, which may be been further enhanced by combining 2D layers into vertically stacked van der Waals heterostructures (vdWHs). Among the superlative properties of 2D systems, thermoelectric (TE) energy conversion promises to enable targeted energy conversion, localized thermal management, and thermal sensing. However, TE conversion efficiency remains limited by the inherent tradeoff between conductivity and thermopower. In this paper, we use first-principles calculation to study graphene-based vdWHs composed of graphene layers and hexagonal boron nitride (h-BN). We compute the electronic band structures of heterostructured systems using Quantum Espresso and their TE properties using BoltzTrap2. Our results have shown that stacking layers of these 2D materials opens a bandgap, increasing it with the number of h-BN interlayers, which significantly improves the power factor (PF). We predict a PF of ∼1.0 × 1011 W K−2 m s for the vdWHs, nearly double compared to 5 × 1010 W K−2 m s that we obtained for single-layer graphene. This study gives important information on the effect of stacking layers of 2D materials and points toward new avenues to optimize the TE properties of vdWHs.

G. Aad, B. Abbott, D. Abbott, K. Abeling, S. Abidi, A. Aboulhorma, H. Abramowicz, H. Abreu et al.

This Letter reports the observation of single top quarks produced together with a photon, which directly probes the electroweak coupling of the top quark. The analysis uses 139  fb^{-1} of 13 TeV proton-proton collision data collected with the ATLAS detector at the Large Hadron Collider. Requiring a photon with transverse momentum larger than 20 GeV and within the detector acceptance, the fiducial cross section is measured to be 688±23(stat) _{-71}^{+75}(syst)  fb, to be compared with the standard model prediction of 515_{-42}^{+36}  fb at next-to-leading order in QCD.

L. Goddard, M. Kaestli, E. Makalic, A. Ralph

Background: Outcomes after acute rheumatic fever (ARF) diagnosis are variable, ranging from recovery to development of severe rheumatic heart disease (RHD). There is no diagnostic test. Evaluation using the Australian clinical diagnostic criteria can result in a diagnosis of definite, probable or possible ARF. The possible category was introduced in 2013 in Australias Northern Territory (NT). Our aim was to compare longitudinal outcomes after a diagnosis of definite, probable or possible ARF. Methods: We extracted data from the NT RHD register for Indigenous Australians with an initial diagnosis of ARF during the 5.5-year study period (01/01/2013 - 30/06/2019). Descriptive statistics were used to describe the demographic and clinical characteristics at initial ARF diagnosis. Kaplan-Meier curves were used to assess the probability of survival free of disease progression and the cumulative incidence risk at each year since initial diagnosis was calculated. Cox proportional hazards regression was used to determine whether time to disease progression differed according to ARF diagnosis and whether progression was associated with specific predictors at diagnosis. A multinomial logistic regression model was performed to assess whether ARF diagnosis was associated with RHD outcome and to assess associations between ARF diagnosis and clinical manifestations. A generalised linear mixed model (GLMM) was developed to assess any differences in the long-term antibiotic adherence between ARF diagnosis categories and to examine longitudinal trends in adherence. Results: There were 913 initial ARF cases, 732 with normal baseline echocardiography. Of these, 92 (13%) experienced disease progression: definite ARF 61/348 (18%); probable ARF 20/181 (11%); possible ARF 11/203 (5%). The proportion of ARF diagnoses that were uncertain (i.e. possible or probable) increased over time, from 22/78 (28%) in 2013 to 98/193 (51%) in 2018. Cumulative incidence risk of any disease progression at 5.5 years was 33.6 (23.6-46.2) for definite ARF, 13.5 (8.8-20.6) for probable and 11.4% (95% CI 6.0-21.3) for possible ARF. The probability of disease-free survival was lowest for definite ARF and highest for possible ARF (p=0.004). Cox proportional hazards regression indicated that disease progression was 2.19 times more likely in those with definite ARF than those with possible ARF (p=0.026). Progression to RHD was reported in 37/348 (11%) definite ARF, 10/181 (6%) probable ARF, and 5/203 (2%) possible ARF. The multinomial logistic regression model demonstrated a significantly higher risk of progression from no RHD to RHD if the initial diagnosis was definite compared to possible ARF (p<0.001 for both mild and moderate-severe RHD outcomes). The GLMM estimated that patients with definite ARF had a significantly higher adherence to antibiotic prophylaxis compared with probable ARF (p=0.024). Conclusion: These data indicate that the ARF diagnostic categories are being applied appropriately, are capturing more uncertain cases over time, provide a useful way to stratify risk and guide prognosis, and can help inform practice. Possible ARF is not entirely benign; some cases progress to RHD.

Aim To identify clinical and laboratory parameters on admission and/or during a hospital stay that would predict prolonged hospital stay in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods A retrospective cross-sectional study was conducted at the Clinic for Pulmonary Diseases and Tuberculosis, Clinical Centre University of Sarajevo for the period 2019-2021 accounting patients admitted due to AECOPD. The need for hospitalization was evaluated according to the current GOLD criteria and certain clinical parameters. Spirometry testing and laboratory analysis were performed for all patients on the day of admission and on the 10th day of hospital stay. Linear regression was used to show the relationship between multiple independent predictor variables and LOS. Results A total of 50 patients were evaluated during their hospital stay due to AECOPD. Median of LOS was 22.02±1.06, with 90% hospital survival rate. Due to AECOPD the median of LOS in the intensive care unit (ICU) was 4±0.68 days with pH<7.35 in 34% of hospitalized patients. According to spirometry classification on the day of admission, 56% of patients were assigned to group 3 and 16% to group 4 with significant improvement identified on spirometry findings on discharge. Platelets on the day of admission were the only statistically significant positive predictors of the length of hospital stay. Conclusion Identifying chronic obstructive pulmonary disease patients at risk of frequent exacerbations and appropriate disease management could reduce the disease burden.

H. Šiljak, J. Kennedy, Stephen Byrne, Karina Einicke

This research combines complex systems science, geographical information systems, and environmental noise modelling to analyse effects of future air mobility in urban settings and plan efficient routes for vehicles. The research used the environmental noise maps of an urban agglomeration produced under the Environmental Noise Directive (END) as input to inform the UAV operations. These maps reveal potential routes for the UAV operations where the noise impact of the vehicle can be embedded within a high background noise due to the existing sources modelled under the END. When an agent based model is superimposed on a real-world map simple strategies of the diverse agents in interaction with the environment reveal patterns, such as dominant paths, points of congestion, and suggest positioning of terrestrial infrastructure. We investigate how agents can overcome the conflicts and find trade-off solutions by interacting only with their immediate neighbours-therefore enabling autonomy, decentralization, and putting to use emergent self-organising behaviour. The potential impact of increased drone operations on urban and peri urban regions is significant. Route optimisation which does not consider the noise is likely to impact on quite areas within our residential spaces and should be considered as part of noise action planning.

Aim To compare outcomes of two different surgical techniques of coronary artery bypass grafting (CABG) for treating isolated left anterior descending (LAD) coronary artery disease by full median sternotomy technique vs. minimally invasive approach via left anterior mini-thoracotomy. Methods This retrospective, observational study, which included 61 elective patients, was conducted at the Clinic for Cardiovascular Surgery of the Clinical Centre of the University of Sarajevo in the period from June 2019 to January 2022. Patients were divided in two groups according to the operative technique used, the sternotomy CABG group of 30 patients where the access considered full median sternotomy, and the minimally invasive CABG group where left anterior mini-thoracotomy was performed. The groups were compared by previously defined primary and secondary clinical postoperative outcomes. Results Out of 61 patients, the majority was males, 50 (82%). The analysis of the outcomes of the minimally invasive CABG surgery showed significantly shorter operative times (p=0.001), less postoperative drainage (p=0.001) and transfusion requirements, shorter mechanical ventilation duration (p=0.0001), low major adverse cardiac and cerebrovascular events rates, as well as shorter Intensive Care Unit stay days with mean of 3.3±1.442 days (p=0.025), but no total hospital stay days with mean of 6.7±1.832 days (p=0.075) compared to sternotomy CABG group. Conclusion Minimally invasive approach for CABG surgery in treating isolated single vessel LAD disease, together with the fasttrack protocol, offers a reasonable alternative to full median sternotomy, leading to faster patients' overall recovery and improving the quality of life.

In this research, an analysis of the mechanical behaviour for the Orthofix external fixation device under the impact of torque was performed. Research considers application of the Orthofix device on the tibia bone for the case of unstable fracture. 3D (Three Dimensional) model of the Orthofix device was created in the CATIA (Computer Aided Three-Dimensional Interactive Application) software, based on the real device construction. Structural analysis was used to monitor and analyse the stress magnitudes on the specific areas of the fixation device and fracture. With usage of the interfragmentary displacement data for the bone fragments, degrees of stiffness are introduced for the fracture and fixation device. Obtained results are used to specify the mechanical behaviour of the Orthofix fixation device.

Daniela Veljačić Visković, Mirela Lozić, Martina Vukoja, V. Šoljić, Katarina Vukojević, Merica Glavina Durdov, N. Filipović, B. Lozić

We aimed to investigate expression of the novel susceptibility genes for CAKUT, DLG1 and KIF12, proposed by a systematic in silico approach, in developing and postnatal healthy human kidneys to provide information about their spatiotemporal expression pattern. We analyzed expression of their protein products by immunohistochemistry and immunofluorescence and quantified relative mRNA levels by RT-qPCR. Statistically significant differences in expression patterns were observed between certain developmental stages. Strong expression of DLG1 was observed in the developing kidney, with a gradual decrease from the first phase of kidney development (Ph1) until the third phase (Ph3), when most nephrons are formed; at later stages, the highest expression was observed in the tubules. KIF12 was highly expressed in the developing structures, especially in Ph1, with a gradual decrease until the postnatal phase, which would indicate a significant role in nephrogenesis. Co-localization of DLG1 and KIF12 was pronounced in Ph1, especially on the apical side of the tubular epithelial cells. Thereafter, their expression gradually became weaker and was only visible as punctate staining in Ph4. The direct association of DLG1 with KIF12 as control genes of normal kidney development may reveal their new functional aspect in renal tubular epithelial cells.

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