In this prospective study, we presented the effect of isokinetic training on the clinical outcome of rehabilitation in relation to the reduction of the torque deficit in thigh muscles (DEF) after anterior cruciate ligament (LCA) reconstruction. The prospective study followed 144 subjects, 72 women and 72 men, with a mean age of 28.20 ± 4.52, four months after anterior cruciate ligament reconstruction with a hamstring graft. Subjects were divided into two groups according to the type of rehabilitation treatment they underwent. Subjects of the isokinetic group (72 subjects, 36 males and 36 females), underwent kinesitherapy according to the isokinetic exercise protocol which consisted of a one-day isokinetic training lasting for thirty minutes, five times a week for six weeks. Subjects of the classical group (72 subjects, 36 males and 36 females) underwent kinesitherapy based on standard isotonic exercises to increase muscle strength, i.e. exercises with weights and in the gym. The difference in the outcome of rehabilitation was objectified by a concentric-concentric isokinetic test at an angular velocity of 60 °/s before the start, after three weeks and after six weeks of rehabilitation. The monitoring parameters were: torque deficit of the injured leg knee extensor in relation to the uninjured leg (EXDEF) -% and torque deficit of the knee flexor of the injured leg in relation to the uninjured leg (FLDEF) -%.
ABSTRACT Background Data on renal replacement therapy (RRT) for end-stage renal disease were collected by the European Renal Association (ERA) Registry via national and regional renal registries in Europe and countries bordering the Mediterranean Sea. This article provides a summary of the 2019 ERA Registry Annual Report, including data from 34 countries and additional age comparisons. Methods Individual patient data for 2019 were provided by 35 registries and aggregated data by 17 registries. Using these data, the incidence and prevalence of RRT, the kidney transplantation activity and the survival probabilities were calculated. Results In 2019, a general population of 680.8 million people was covered by the ERA Registry. Overall, the incidence of RRT was 132 per million population (p.m.p.). Of these patients, 62% were men, 54% were ≥65 years of age and 21% had diabetes mellitus as primary renal disease (PRD), and 84% had haemodialysis (HD), 11% had peritoneal dialysis (PD) and 5% had pre-emptive kidney transplantation as an initial treatment modality. The overall prevalence of RRT on 31 December 2019 was 893 p.m.p., with 58% of patients on HD, 5% on PD and 37% living with a kidney transplant. The overall kidney transplant rate was 35 p.m.p. and 29% of the kidney grafts were from a living donor. The unadjusted 5-year survival probability was 42.3% for patients commencing dialysis, 86.6% for recipients of deceased donor grafts and 94.4% for recipients of living donor grafts in the period 2010–14. When comparing age categories, there were substantial differences in the distribution of PRD, treatment modality and kidney donor type, and in the survival probabilities.
Background: Negative symptoms are core features of schizophrenia and very challenging to be treated. Identification of their structure is crucial to provide a better treatment. Increasing evidence supports the superiority of a five-factor model (alogia, blunted affect, anhedonia, avolition, and asociality as defined by the NMIH-MATRICS Consensus); however, previous data primarily used the Brief Negative Symptoms Scale (BNSS). This study, including a calibration and a cross-validation sample (n = 268 and 257, respectively) of participants with schizophrenia, used the Clinical Assessment Interview for Negative Symptoms (CAINS) to explore the latent structure of negative symptoms and to test theoretical and data-driven (from this study) models of negative symptoms. Methods: Exploratory factor analysis (EFA) was carried out to investigate the structure of negative symptoms based on the CAINS. Confirmatory factor analysis (CFA) tested in a cross-validation sample four competing theoretical (one-factor, two-factor, five-factor, and hierarchical factor) models and two EFA-derived models. Result: None of the theoretical models was confirmed with the CFA. A CAINS-rated model from EFA consisting of five factors (expression, motivation for recreational activities, social activities, vocational, and close/intimate relationships) was an excellent fit to the data (comparative fix index = 0.97, Tucker–Lewis index = 0.96, and root mean square error of approximation = 0.07). Conclusions: This study cannot support recent data on the superiority of the five-factor model defined by the NMIH-MATRICS consensus and suggests that an alternative model might be a better fit. More research to confirm the structure of negative symptoms in schizophrenia, and careful methodological consideration, should be warranted before a definitive model can put forward and shape diagnosis and treatment of schizophrenia.
In this paper, we propose variations of Willems’ fundamental lemma that utilize second-order moments such as correlation functions in the time domain and power spectra in the frequency domain. We believe that using a formulation with estimated correlation coefficients is suitable for data compression, and possibly can reduce noise. Also, the formulations in the frequency domain can enable modeling of a system in a frequency region of interest.
We study emulation-based state estimation for non-linear plants that communicate with a remote observer over a shared wireless network subject to packet losses. To reduce bandwidth usage, a stochastic communication protocol is employed to determine which node should be given access to the network. We describe the overall wireless system as a hybrid model, which allows us to capture the behaviour both between and at transmission instants, whilst covering network features such as random transmission instants, packet losses, and stochastic scheduling. Under this setting, we provide sufficient conditions on the transmission rate that guarantee an input-to-state stability property for the corresponding estimation error system. We illustrate our results with an example of Lipschitz non-linear plants.
The heat transfer performances of ionic liquids [C4mpyrr][NTf2] and ionanofluids with Al2O3 nanoparticles under a laminar flow regime, and with constant heat flux on the tube wall is numerically modeled and analyzed for three values of initial/inlet temperature and for two Reynolds numbers. Heat transfer characteristics were considered by analyzing the temperature distribution along the upper wall, as well as by analyzing the Nusselt number and heat transfer coefficient. The results obtained numerically were validated using Shah’s equation for ionic liquid. Thermophysical properties were temperature-dependent, and obtained by curve-fitting the experimental values of the thermophysical properties. Furthermore, the same set of results was calculated for the ionic liquid and ionanofluids with constant thermophysical properties. It is concluded that the assumption that thermophysical properties are constant has a significant influence on the heat transfer performance parameters of both ionic liquid and ionanofluids, and therefore such assumptions should not be made in research.
Protonation states of ionizable protein residues modulate many essential biological processes. For correct modeling and understanding of these processes, it is crucial to accurately determine their pKa values. Here, we present four tree-based machine learning models for protein pKa prediction. The four models, Random Forest, Extra Trees, eXtreme Gradient Boosting (XGBoost), and Light Gradient Boosting Machine (LightGBM), were trained on three experimental PDB and pKa datasets, two of which included a notable portion of internal residues. We observed similar performance among the four machine learning algorithms. The best model trained on the largest dataset performs 37% better than the widely used empirical pKa prediction tool PROPKA and 15% better than the published result from the pKa prediction method DelPhiPKa. The overall root-mean-square error (RMSE) for this model is 0.69, with surface and buried RMSE values being 0.56 and 0.78, respectively, considering six residue types (Asp, Glu, His, Lys, Cys, and Tyr), and 0.63 when considering Asp, Glu, His, and Lys only. We provide pKa predictions for proteins in human proteome from the AlphaFold Protein Structure Database and observed that 1% of Asp/Glu/Lys residues have highly shifted pKa values close to the physiological pH.
ABSTRACT Since the end of 2017, Bosnia and Herzegovina has experienced a significant increase in the number of migrants transiting through the country. Based on an ethnographic reading of nineteen recollections of ‘personal migration experiences’ of Bosnians during 1992–1995 war, which form the basis for popular perception of migrants in the country, this paper explores how the concept of solidarity is imagined and lived in the context of this significant increase. We argue that Bosnians interpret these recent arrivals as a ‘test of humanity’, having been in a similar situation in the early 1990s. In this regard, the concept of solidarity opens a window onto the interactions with and between migrants and non-migrants, recognizing a shared set of concerns and orientations, rather than exceptionalizing migrants through the lens of ‘crisis’. That said, the concept of solidarity is less popular among those who do not share a so-called ‘migrant’s faith’, resulting in negative perceptions of migrants. In these perceptions, migrants’ presence in the country is criminalized, resulting in various calls for more aggressive, even violent, ‘popular’ handling of migrants transiting or settling in Bosnia and Herzegovina.
https://doi.org/10.31952/amha.19.2.6 This review describes the first medical article written by an author from Bosnia and Herzegovina. The article was published by Fr. Franjo Gracić (1740-1799), in Latin, under the title: "Analysis theorico-practica de viribus virus febriferi, pestiferi, atque serpentin", and printed in Padua in 1795, translated as: "A Theoretical and Practical Presentation of the Effects of Fevers, Infectious Diseases, and Snake Poison". From today's standpoint, it may be said that it was a review article about some of the most frequent diseases of that time. The paper is of exceptional importance for the history of medicine in Bosnia and Herzegovina because it is the first documented medical article whose author was from Bosnia and Herzegovina. The paper contains observations of the course of diseases and treatment, in line with the medical insights of the time. The author refers to the authorities of that time, such as Samuel Auguste André Tissot, the Swiss physicist and doctor, Georg Bauer, the German doctor, and Lodovico Antonio Muratori, the Italian scholar, which makes this article a link between Bosnia and Herzegovina and the knowledge of the Europe of that time. This paper represents the beginning of medical writing in Bosnia and Herzegovina and has a very important place in the history of medicine in this country.
With the COVID-19 outbreak at the beginning of 2020, many language teachers worldwide who were successfully implementing face-to-face teaching had to abruptly switch to online education, which was not something they were trained for or had experience with. Were they successful? The present study asked students from Turkey (TUR), Poland (POL), the Republic of North Macedonia (RNM), and Bosnia and Herzegovina (B&H) to evaluate their teachers’ professional adaptation and success during the first emergency online teaching semester. The results of the study showed that there were important similarities in the ways students in the examined four countries approached and evaluated the level of professionalism of their teachers in the first COVID-19 period regarding their teachers’ computer literacy, online teaching skills, creation of materials appropriate for online teaching.
Necrotizing stomatitis is a rare, acute-onset disease that is usually associated with severely malnourished children or diminished systemic resistance. We describe a 1-year-old girl who developed necrotizing stomatitis, vasculitic rash, skin desquamation on the fingers and toes, and persistent hypertension after serologically confirmed SARS-CoV-2 infection. Her laboratory investigations revealed positive IgG anticardiolipin and IgG anti-β2 glycoprotein antibodies, and biopsy of the mucosa of the lower jaw showed necrosis and endothelial damage with mural thrombi. Swollen endothelial cells of small veins in the upper dermis were confirmed also by electron microscopy. As illustrated by our case, necrotizing stomatitis may develop as a rare complication associated with SARS-CoV-2 infection and can be considered as a part of the clinical spectrum of COVID-19 vasculopathy. The pathogenic mechanism could involve a consequence of inflammatory events with vasculopathy, hypercoagulability, and damage of endothelial cells as a response to SARS-CoV-2 infection.
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