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Background: In the academic world, the debate continues on the subject of how far a lack of vitamin D can affect the healing of various wounds. Objective: To determine if basal serum levels of vitamin D significantly influence clinical parameters linked to post-extraction wound healing after surgical removal of impacted/semi-impacted third molars. Methods: A total of 23 patients were included in this study. Clinical outcome parameters were: edema, trismus, pain, soft tissue healing, and dry socket signs. The research was divided into four stages. Results: Due to the high prevalence of hypovitaminosis D (91%), patients were classified into an insufficient (≥ 20 ng/ml) or a deficient group (<20 ng/ml). The results showed no statistically significant differences in pain, edema, trismus, or soft tissue healing between those two groups. A slight statistical interaction was observed in the clinical parameters related to edema and trismus assessment, but not statistically significant. We did not notice signs of “dry socket” on any of the patients. Conclusion: Within its limitations (low number of patients, high prevalence of vitamin D deficiency), this pilot study failed to find a significant influence of serum vitamin D concentrations in wound healing or post-surgery symptom (pain, edema, trismus) development after third molar extraction. Further clinical investigations are necessary to elaborate on this function of vitamin D more precisely.

A. Šukalo, Jasna Džananović Jaganjac, A. Avdić, U. Glamočlija, Zeljka Popovic, A. Boloban, M. Čampara, M. Mehić

Objective. The objective of this non-interventional post-marketing clinical trial was to analyze the antihypertensive effect and safety of a fixed combination of perindopril and indapamide in the treatment of unregulated essential hypertension. Patients and Methods. The prospective clinical trial included patients aged 20 to 75 years with essential hypertension and blood pressure values ≥140/90 mmHg at baseline. On the basis of the investigator’s decision, patients received 2 mg perindopril + 0.625 mg indapamide (group 2+0.625) or 4 mg perindopril + 1.25 mg indapamide (group 4+1.25). Results. The study included 1173 patients (426 patients in group 2+0.625 and 747 patients in group 4+1.25) at 27 investigational centers in Bosnia and Herzegovina. Mean blood pressure values at baseline and visits after nine months were significantly higher in the 4+1.25 group compared to the 2+0.625 group. There was a significant drop in systolic and diastolic blood pressure in both groups. The target values of systolic and diastolic blood pressure, according to the European Society of Cardiology (2018), were reached after nine months of therapy by more than 80% of patients in the 2+0.625 group, and this number was significantly higher compared to the 4+1.25 group where more than 60% of patients reached target values. Newly diagnosed patients had a better response to therapy. The percentage of patients receiving additional antihypertensive therapy decreased by the end of the study. Age, gender and the existence of diabetes mellitus were identified as negative predictors of target blood pressure achievement. The therapy showed a good safety profile. Conclusion. A fixed combination of perindopril and indapamide was effective and safe in the treatment of unregulated essential hypertension.

Objectives Oral health in children is additionally burdened with the presence of dental fear and anxiety (DFA). These clinical psychologic entities in their progressive stages inevitably lead to avoidance of dental appointments, which makes prevention and therapy of oral diseases more difficult. Upon the onset of DFA in general, as one of the emotional outcomes of stress in a dental office, most children patients could define the specific stressors that were most intense for them, which could predict the presence of DFA. Aim To examine the predictors of DFA presence in 9-12-year-old children, and investigate how they could explain the DFA occurrence in study participants. Material and Methods The sample consisted of 200 children aged from 9 to 12 years. The DFA presence was determined by the modified version of the CFSS-DS scale. The child's behavior in the dental office during the treatment was evaluated by the trained observer using Venham anxiety and behavior rating scales. Socioeconomic status, characteristics of dental office visits, and previous caries experience were also analyzed. Results The main DFA predictors were related to invasive dental treatments, where the behavior during dental treatment was the most accurate expression of the DFA appearance. Conclusions Invasive dental procedures are the main stressful factor for DFA occurrence. Predisposing factors could strengthen the DFA occurrence.

Aikaterini Bagiati, Andrés Felipe Salazar Gómez, A. Masic, Lana Cook, A. Sastry, G. Westerman, C. Breazeal, Vijay Kumar et al.

The rapid pace of change in technology, business models, and work practices is causing ever-increasing strain on the global workforce. Companies in every industry need to train professionals with updated skill-sets in a rapid and continuous manner. However, traditional educational models — university classes and in-person degrees— are increasingly incompatible with the needs of professionals, the market, and society as a whole. New models of education require more flexible, granular and affordable alternatives. MIT is currently developing a new educational framework called Agile Continuous Education (ACE). ACE describes workforce level education offered in a flexible, cost-effective and time-efficient manner by combining individual, group, and real-life mentored learning through multiple traditional and emerging learning modalities. This paper introduces the ACE framework along with its different learning approaches and modalities (e.g. asynchronous and synchronous online courses, virtual synchronous bootcamps, and real-life mentored apprenticeships and internships) and presents the MIT Refugee Action Hub (ReACT) as an illustrative example. MIT ReACT is an institute-wide effort to develop global education programs for underserved communities, including refugees, displaced persons, migrants and economically disadvantaged populations, with the goal of promoting the learner’s social integration and formal inclusion into the job market. MIT ReACT’s core programs are the Certificate in Computer and Data Science (CDS) and the MicroMasters in Data, Economics and Development Policy, which consist of a combination of online courses, bootcamps, and global apprenticeships. Currently, MIT ReACT has regional presence in the Middle East and North Africa, East Africa, South America, Asia, Europe and North America.

D. Careglio, C. Angulo Bahón, Ana Catarina Alves Moreira, Antonia Jakobi, Rozalina Dimova, T. Dovramadjiev, Adisa Ejubovic, Evgenia Sukhovii et al.

HEDY - Life in the AI era is a 2-year Erasmus+ project started in November 2021 targeting higher education audience. Its goal is to offer a comprehensive and shared view of how Artificial Intelligence (AI) is affecting our lives and reshaping our socioeconomic, cultural, and human environments and to define which topics related to AI are of interest to different university studies and how they should be addressed. Four specific free and accessible sources of information will be produced to reach these goals, the first of which is the Booklet, the subject of this paper. The Booklet is an essay defining the HEDY position on life in the AI era and its aim is to identify the challenges, opportunities and expected impact of AI on four different areas: business, governance, skills & competencies, and people & lifestyle. In this paper, we summarise the content of the Booklet. In particular, we describe our methodology to build our rationales based on collecting information from two sources: i) Literature survey, and ii) Focus groups. These two sources provide a unique contribution on AI panorama by combining state of the art research with first-hand opinions and debated questions, concerns, and ideas of interacting individuals. The main finding is that there is the necessity to train citizens in AI by providing teachings, courses and trainings in schools and higher education institutes to facilitate the use and adoption of AI for young people and future generations.

Selma Šabanagić-Hajrić, Amra Memić-Serdarević, G. Sulejmanpasić, E. Mehmedika-Suljić

Background: Multiple sclerosis is a progressive inflammatory disease of the the central nervous system. Problems with sexual functions are the common features of multiple sclerosis and important factor that contribute to the quality of life among affected persons. Objective: The aim of the study was to evaluate the influence of sociodemographic and clinical characteristics on sexual functions domains of health related quality of life (HRQOL) in multiple sclerosis patients. Methods: This study included 100 MS patients treated at the Department of Neurology, Clinical Center University of Sarajevo. Inclusion criteria were an Expanded Disability Status Scale score between 1.0 and 6.5, age between 18 and 65 years, stable disease on enrollment. HRQOL was evaluated by the Multiple Sclerosis Quality of Life-54 questionnaire. Mann-Whitney and Kruskal-Wallis test were used for comparisons between sociodemographic and clinical characteristics and HRQOL scores. Results: Out of 60% of patients reported to have sexual dysfunction, and 55 % were female patients. Younger patients had statistical significant higher median value of sexual function score (91.68 vs. 58,28, p=0.001) and satisfaction with sexual life scores (62.5 vs 37.5 , p =0.019) comparing to older patients. Employed patients also showed statistical significant higher median value of sexual function score (82 vs. 66.7, p=0.003) comparing to unemployed patients and also statisticaly significant higher median scores considering satisfaction with sexual life among employed patients (p=0,001). There were no differences in sexual functions scores considering gender, marital status and education. Patients with higher level of disabilty, progressive type of disease, more relapses and longer diseas duration had statistical significant lower median value of sexual function score and also satifaction with sexual life scores, except for disease duration Conclusion: Aging, dysability and progression are major factors that contribute to lower sexual function scores and satisfaction with sexual life among multiple sclerosis patients. Althoug women reported sexual problems more often then men, impact of these problems on quality of life are similar in men and women with MS.

S. Stopić, Buse Polat, H. Chung, Elif Emil-Kaya, S. Smiljanić, S. Gürmen, B. Friedrich

Due to their remarkable magnetic properties, such as a high maximum energy product, high remanence, and high coercivity, NdFeB magnets are used in a variety of technological applications. Because of their very limited recycling, high numbers of spent NdFeB magnets are widely available in the market. In addition to China’s monopoly on the supply of most rare earth elements, there is a need for the recovery of these critical metals, as their high import price poses an economic and environmental challenge for manufacturers. This paper proposes a pyrometallurgical recycling method for end-of-life NdFeB magnets by oxidizing them in air as first required step. The main goal of this method is to oxidize rare earth elements from NdFeB magnets in order to prepare them for the carbothermic reduction. The experimental conditions, such as the oxidation temperature and time, were studied in order to establish the phase transformation during oxidation using the Factsage Database and experimental conditions. Our thermogravimetric analysis TGA analysis revealed an increased sample mass by 35% between room temperature and 1100 °C, which is very close to the total calculated theoretical value of oxygen (36.8% for all elements, and only 3.6% for rare earth elements REE), confirming the complete oxidation of the material. The obtained quantitative analysis of the oxidation product, in (%), demonstrated values of 53.41 Fe2O3, 10.37 Fe3O4; 16.45 NdFeO3; 0.45 Nd2O3, 1.28 Dy2O3, 1.07 Pr2O3, and 5.22 α-Fe.

Santiago Rodrigo, Domenico Spanò, Medina Bandic, S. Abadal, Hans van Someren, Anabel Ovide, Sebastian Feld, C. G. Almudéver et al.

Quantum many-core processors are envisioned as the ultimate solution for the scalability of quantum computers. Based upon Noisy Intermediate-Scale Quantum (NISQ) chips interconnected in a sort of quantum intranet, they enable large algorithms to be executed on current and close future technology. In order to optimize such architectures, it is crucial to develop tools that allow specific design space explorations. To this aim, in this paper we present a technique to perform a spatio-temporal characterization of quantum circuits running in multi-chip quantum computers. Specifically, we focus on the analysis of the qubit traffic resulting from operations that involve qubits residing in different cores, and hence quantum communication across chips, while also giving importance to the amount of intra-core operations that occur in between those communications. Using specific multi-core performance metrics and a complete set of benchmarks, our analysis showcases the opportunities that the proposed approach may provide to guide the design of multi-core quantum computers and their interconnects.

Ante Kolak, Ivan Markić, Zoran Horvat

In this article we consider the applicability of distance education on the elementary level from parents’ perspectives and present the limitations stemming from the degree of support that students in elementary education need from their parents. The dilemmas regarding the possible levels of students’ development of independence and self-orientation, and the parents’ roles are highlighted. We believe that due to these limitations, distance learning has some of the characteristics of home-schooling. The subject of the research in the empirical part of this study focused on parents’ attitudes. Parental attitudes, based on a previously established multi-factor model, become clear from the parents’ experiences (Kolak, Markić & Horvat, 2020) where factors regarding the demands of teaching and the competence of parents as substitute teachers, were separated. Parents’ characteristics (e.g., gender, age, educational status and involvement) were found to influence their attitudes. The results of the research indicate the importance of parents in distance learning during the pandemic which adds a new and more significant role in the educational process of their children.

Marija Levic, N. Bogavac-Stanojević, Dušanka M. Krajnović

Thoroughly validated instruments can provide a more accurate and reliable picture of how the instrument works and of the level of health literacy in people with type 2 diabetes mellitus (T2DM). The present work aimed at cross-cultural adaptation and validation of the Functional, Communicative and Critical Health Literacy Instrument (FCCHL) in patients with T2DM in Serbia. After translation and back-translation, views from an expert group, one cognitive interview study (n = 10) and one survey study (n = 130) were conducted among samples of diabetic patients. Item analysis, internal consistency, content validity, confirmatory factor analysis (CFA) and reliability testing were performed. When all 14 items were analyzed, loading factors were above 0.55, but without adequate model fit. After removing two items with the lowest loadings FHL1 and IHL2 the fit indexes indicated a reasonable normed χ2 (SB scaled χ2/df = 1.90). CFI was 0.916 with SRMR = 0.0676 and RMSEA = 0.0831. To determine internal consistency, Cronbach’s alpha coefficient was 0.796 for the whole FCCHL-SR12. With only minor modifications compared to the English version, the 12-item FCCHL instrument is valid and reliable and can be used to measure health literacy among Serbian diabetic patients. However, future research on a larger population in Serbia is necessary for measuring the levels of HL and their relationship with other determinants in this country.

The designing process of an IoT (Internet of Things) network requires adequate knowledge of various communication technologies that make the connection of the IoT modules possible. Many important factors such as scalability, bandwidth, data rate (speed), coverage, power consumption, and security support need to be considered to answer the needs of an IoT application with regards to the implemented radio communication technology. This paper studies the choices of three major LPWAN (Low-Power Wide-Area Networks) technologies that are currently leading in the market of radio communication technologies. Focusing on Sigfox, LoRaWAN (Low-Range Wide-Area Networks), and NB-IoT (Narrow-Band Internet of Things), this work intends to give the respective pros and cons of the mentioned technologies and a clear view of the recent trends and effective choices of radio communication technologies for major smart IoT applications.

Žarko Mitrić, M. Vučković, Amra Mačak Hadžiomerović, Miloš Lalović

Introduction: Musculoskeletal disorders (MSDs) imply damage to muscular or skeletal systems, which usually develop due to strenuous, repetitive activity, or an inflammation process. The therapy with capacitive and resistive electronic transfer (CRet) and high-intensity laser therapy (HILT) have mainly been applied for pain relief in these conditions. This paper aims to provide an overview of the efficient results of CRet therapy and HILT in managing pain associated with musculoskeletal disorders found in the available literature. Methods: Articles related to musculoskeletal disorders were searched through electronic databases, such as PubMed, Web of Knowledge, Lilacs, Cochrane, Research Gate, and available website search tools. After excluding records that are not clinical trials and studies (such as review articles, patient information, and Ph.D. papers) and articles which did not deal with pain in musculoskeletal disorders, 61 articles met our criteria and were included in the overview. Results: By reviewing the selected articles related to CRet therapy and HILT effects on pain in musculoskeletal disorders, it was found that both therapies have a favorable effect on pain reduction. Conclusion: The selected papers showed that both therapies are powerful tools for pain reduction. Although there are no specific protocols, including the number and frequency of therapies applied and other parameters, in both therapy modalities, pain alleviation occurs during or immediately after a therapy cycle application.

Naima Imshiria, V. Katica, Lejla Imshiria, Amila Hodžić, Nedim Galijasevic

Introduction: Bilateral ectopic pregnancy is a very rare condition which occurs in 1/725 - 1/1580 ectopic pregnancies, most commonly after induced assisted reproductive techniques. Aim: To present the case of spontaneous bilateral tubal pregnancy, and the problem of insufficiency of available diagnostic methods, which causes that an accurate diagnosis can mostly be made intraoperatively. Case Report: A 37-year-old female, nulliparous, comes at the Clinic of Gynecology and Obstetrics of CCUS, complains of intense suprapubic pain, and difficulty urinating. The expected menstruation was absent for more than 2 weeks. The Grav index test was positive. Beta hCG values were 6312 IU/L. On examination, the patient was extremely pale, hypotensive, gave the impression of hemorrhagic shock, and the abdomen was diffusely palpably painful. After emergency TV ultrasound, then ultrasound and CT of the abdomen and small pelvis, which indicate a moderate amount of thicker fluid in the abdomen and small pelvis in terms of hemoperitoneum and with the left contour of the uterus an oval zone most likely to correspond to ectopic pregnancy, an indication for emergency surgery was made. A laparotomy was performed, and partly liquid and partly coagulated blood was found in the abdomen. The left tube in the isthmic part was ruptured with active bleeding. Right Fallopian tube was pathologically changed, livid, with visible suspicious pregnancy in the ampullary part. Bilateral salpingectomy was performed, and samples are sent for PHD analysis that shows the presence of chorionic villi in both tubes. Conclusion: When ectopic pregnancy is suspected, the possibility of bilateral tubal pregnancy should always be kept in mind, especially in cases accompanied by acute pelvic pain with signs of hemorrhagic shock

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