Two main types of cardiac amyloidosis (CA) exist, as a result of either aberrant plasma cell production of misfolded monoclonal light chains, known as immunoglobulin light chain amyloidosis (AL), or production of disintegrated and misfolded transthyretin (TTR) proteins by the liver, also called transthyretin amyloidosis (ATTR). Non-invasive diagnostics (cardiac uptake on diphosphonate scintigraphy, Perugini score 2 or 3) have gained prominence in modern cardiology in correlation with the negative findings of free light chains in serum and the results of negative immunofixation in serum and urine. Additionally, criteria related to echocardiography or cardiac magnetic resonance are necessary for establishing a diagnosis. A total of 3.063 99mTc-MDP bone scintigrams were analyzed between August 2018 and March 2023, of which Perugini score 1 was validated in 13 patients, Perugini score 2 in 10 patients and Perugini score 3 in 1 patient. From our experience, we could observe that cardiac uptake can be verified in daily clinical practice and that is meaningful for monitoring patients with ATTR-cardiomyopathy (ATTR-CM). Although the sample size is not large, the importance of the study lies in the fact that it involves patients whose findings have been incidentally verified. If patients are selected according to clinical characteristics, the number of positive findings may potentially increase. Our study aimes to raise awareness among physicians of various specialties about the significance of the diagnostic algorithm for infiltrative cardiomyopathies. This is to ensure early diagnosis of this problem and initiation of treatment in the earliest stages when the therapeutic effect is most optimal. Such an approach would yield benefits for both patients and the entire healthcare system. A meticulous diagnostic and therapeutic approach is therefore fundamental for improving clinical outcomes in patients with ATTR-CM, including careful attention to specific TTR genetic variants and long-term follow-up.
Background/Aim: The aim of this study was to determine the accuracy of overall and anterior Bolton's ratio measurements obtained with an intraoral scanner compared to standard caliper measurements on plaster models. Material and Methods: This study included 33 subjects (18 female and 15 male), aged 12 to 18 years. All subjects were taken impression for the purpose of making study plaster models. In addition, all subjects underwent intraoral scanning for the purpose of creating digital models. Tooth width was measured with a caliper on plaster models, while digital models were analyzed using Cerec Ortho SW 2.0.2 software. The overall and anterior Bolton ratios were derived using both methods. Statistical data processing was performed using an independent t-test. Results: The results obtained using these two methods for measuring the anterior and overall Bolton ratio showed that there was no statistically significant difference in the measurements obtained on plaster models and the measurements obtained by intraoral scanning. For the overall Bolton ratio, T-test was 0.828 and is not statistically significant (p<0.05). The value of T-test for the anterior Bolton ratio was 0.001 and it was also not statistically significant (p<0.05). Conclusions: Determination the overall and anterior Bolton ratio using an intraoral scanner is an accurate and acceptable method for clinical work in orthodontics.
During vibrations, the structure passes through different behavior areas (elastic or inelastic). Different areas of behavior correspond to different approaches to analysis and design. Modeling vibrations as a phenomenon includes its presentation in the form of a mathematical model, with certain parameters specific to the system, which define and control the vibration process itself, namely mass, stiffness and damping. While mass and stiffness can be more accurately described mathematically, damping modeling involves the state and medium in which the system resides. Due to differences in understanding of the state variables that control damping forces, there is still no single accepted model of damping. The wrong selection of damping model in the dynamic analysis of structures can result in the response of the structure being underestimated, which can be the cause of the collapse of the structure. The paper analyzed the response of the bridge structure to pedestrian excitation, applying different numerical damping models and the damping determined experimentally. At the end of the paper, a comparative analysis with conclusions is given.
In order to remove harmful microorganisms, textile materials are subjected to various types of antimicrobial treatments. Skin infections represent a permanent diagnostic and therapeutic challenge, and can be caused by bacteria, viruses, fungi and parasites. In this paper, the impact of printing insoles with alginate paste, modified bentonites and Picea omorika plant extract on their antimicrobial, dielectric and sorption properties was investigated. It was found that the printed insoles show a certain antimicrobial effect on the bacteria Staphylococcus aureus and Escherichia coli and the yeast Candida albicans. The obtained values of specific conductivity are in agreement with the tested parameter of the sorption properties of the insoles.
Performance measurement in the health sector is essential. Research results so far show that studies have mainly focused on the Balanced Scorecard (BSC) design process rather than the implementation of the BSC. There is no agreement on the perspectives that should be adopted in healthcare. Regarding the implementation of the BSC, leadership, culture and communication are especially important. Subject of research. A systematic review of research on the application of the BSC model in healthcare. Aim. Understanding the evolution of the BSC model in healthcare. The aim is to define a model for measuring the achievement of development goals through perspectives. Method. Inductive method as a systematic method by which the analysis of individual facts leads to general conclusions. The deductive and comparative method is a systematic application of the deductive way of reasoning in which individual conclusions were reached from general judgments. Using the case study method, the results of this research were defined, that is, the key business indicators, grouped into 4 perspectives, which enable the operationalization of the strategic goals of the development of the healthcare organization. Results. The possibility is demonstrated. The paper provides further research opportunities regarding the stages suitable for the implementation of BSC in healthcare.
We study the significance of the common trusted relay assumption in quantum networks. While most practical implementations of quantum networks rely on trusted devices, the question of security without this assumption has been rarely addressed. Device independent security attempts to minimize the assumptions made on the quantum hardware, entanglement based methods try to avoid relays to the extent possible, and multipath transmission improves robustness and security by enforcing the attacker to conquer more than just a single intermediate node. Common to all these past studies is their focus on the physical layer and direct connections. We describe an attack from the networking and routing layer. Assuming at least one node that is not perfectly tamper-proof, meaning that an attacker has established a foothold to read traffic from the inside, we show how to exploit the eavesdropping detection mechanisms of the quantum key distribution (QKD) devices to cause traffic redirection over the vulnerable node, thus defeating security under the trusted node assumption. We experimentally demonstrate how the attack works on networks of different size and topology, and thereby further substantiate the significance of the trust assumptions for end-to-end security of QKD networks.
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