Background: Miller Fisher syndrome (MFS) is a variant of Guillain-Barré syndrome and is characterised by a clinical triad of ophthalmoplegia, ataxia and areflexia. Objectives: This report presents an atypical case of MFS characterized by ocular and gastrointestinal involvement, and anti-ganglioside antibody-positivity. Methods: A 17-year old boy was referred to our ophthalmology emergency room with signs and symptoms of diplopia and upper lid ptosis of the right eye. He underwent a complete ophthalmologic examination with special reference to strabologic status, as well as a neuropediatric examination with serum antiganglioside antibody panel. Results: Strabologic examination showed horisontal diplopia (near and far), ptosis of the upper eyelid on the right and bilateral ophthalmoplegia (limited elevation). Orthoptic examination revealed esotropia of 8 prism dioptres (PD) at near and 18 PD at far distance. A pediatric neurologist found normal limb power, deep tendon reflexes and flexor plantar responses, but attenuated right patellar reflex. Serum anti-GQ1b IgG (+++), anti-GQ1b IgM (++) and anti-GD1a IgM(++) were positive. Positivity of anti-GQ1b IgG antibody confirmed the existence of incomplete MFS. We treated the patient with systemic intravenous immunoglobulins for five days, and after five months of follow-up, all symptoms resolved. Conclusion: MFS can present itself as a wide range of clinical features and its timely recognition is important. Despite the alarming nature of the disease, patients with MFS tend to have a good recovery of presented symptoms, and without any significant residual deficit.

Background: The world was struck with a pandemic accompanied by maybe one of the most popular words out there right now, which is COVID-19. It has affected every aspect of life imaginable, especially in the medical sector particularly in our case dental care. Objective: This study goes on to analyse and assess the impact of COVID-19 on dental care in Bosnia and Herzegovina, varying from the staff, patients, supplies/equipment, and finances. Methods: An online survey and over-the-phone surveys were conducted, bringing in raw information to help with this study. Results: In total there were 10 different dental offices that information was obtained from. About 90% say that the pandemic has affected their patient flow, obviously due to some restrictions and regulations. And 60% say that the cost of PPE has increased since the pandemic started, while 40% said otherwise. Other data can be found in the rest of the study. Conclusion: Entering into the pandemic, dental practices quickly started to realize the seriousness of this situation, changing the way they do normal everyday work to accustom to this “new norm”. During such a problem, both sides have to participate to act upon accordingly to bring health and safety for everyone.

Various viruses can hide within fluid and solid structures and thus successfully cross different distances, causing the spread of viral infections. Analytical modeling of the triple treatment of virus within a small liquid droplet and within a solid porous particle is the basic research polygon of this paper. The three-stage treatment aims to maximize the efficacy of deactivating viruses indoors. In order to achieve this, viruses undergo treatment by infrared heating, ultraviolet deactivation and ionization–electrostatic deactivation by negative ions. When the droplets are treated with infrared heating, incomplete evaporation occurs, reducing their initial diameter by 10 times; an initial diameter of droplets is 0.01 mm, 0.03 mm and 0.05 mm. Thermal inactivation of viruses inside the droplets is almost negligible, due to short exposure time and a maximum temperature of 100 °C. On the other hand, when solid porous particles are heated to a much higher temperature at the same exposure time, this causes significant thermal inactivation of viruses inside them. Reducing the diameter of the droplet (due to evaporation) by 10 times causes a multiple increase in UV-C deactivation of viruses inside the droplets. The effect of UV-C radiation on viruses within solid porous particles is not included in this paper.

‘’Back then, in the Corona…’’ As numbers of the COVID-infected were rising across Bosnia and Herzegovina (BiH), over the summer and into the autumn of 2020, this phrase appeared as a common opening to individual stories and a new temporal reference that replaced “the war” as the major landmark in personal and collective lives. Corona had already become the past, equated with the days of the lockdown, even though more COVID-19 infections came after the lockdown ended. After lockdown, the death...

Background: The creation of corneal flap is considered to be the most critical part of laser in situ keratomileusis (LASIK) surgery. Currently, flaps can be created with mechanical micorkeratomes or femtosecond lasers. Objective: To analyze and compare flap characteristics created with two different methods for flap creation in Laser in situ keratomileusis (LASIK). Methods: This was a retrospective study. The thickness and morphology of the flap were compared between the two mechanical microkeratomes (group I – Moria M2, group II – Moria SBK One Use Plus) and femtosecond laser (group III – Ziemer Femto LDV). Central flap thickness was measured intraoperatively, while the flap profile was measured with anterior optical coherence tomography at two axes (90° and 180°) and 5 measuring points on the first day, the first week, and one month after the surgery. Results: Central flap thickness was 110.91±15.79 micrometers (µm) (80-164 µm) in group I, 98.08±13.33 µm (65-136 µm) in group II and 103.52±13.89 µm (66-138 µm) in group III. Anterior optical coherence tomography revealed a meniscus-shaped flap in all three groups at both axes (90° and 180°). The least variability in flap thickness was observed in group III (±6 µm). Conclusion: All three methods of flap creation provide good shape and thickness reproducibility. Ziemer Femto LDV femtosecond laser had the least variable flap thickness in a single flap. Mechanical microkeratomes had slightly lower performance.

This study was conducted with the aim of developing fruit spirits by utilizing old (autochthonous) apple and pear cultivars that can be attractive to both consumers and producers. Consumers of spirits could enjoy the unique flavor, and producers could gain an opportunity for brand development. In total, eight old apple cultivars (Sarija, Žuja, Samoniklica, Prijedorska zelenika, Bobovec, Masnjača, Lijepocvjetka, and Šarenika) and three pear cultivars (Budaljača, Krakača, and Kalićanka) from Bosnia and Herzegovina were used for the spirits production and for characterizing the flavor of distillates. Golden Delicious was used as a representative of commercial apple cultivar. The aroma profile was conducted through the identification of minor volatile organic compounds (VOCs) and the sensory perception of spirits. Analysis of the VOCs was performed by gas chromatography mass spectroscopy (GC/MS) techniques after enrichment via solid-phase microextraction (SPME). Sensory evaluation was performed by 12 trained panelists. Overall, 35 minor volatile compounds were found in spirits: 13 esters, 7 alcohols, 6 acids, 5 terpenes, and 4 aldehydes. Significant differences were detected in the distribution and quantity of the VOCs, which were fruit cultivar-dependent. Spirits made from Šarenika apple cultivar showed the largest amount of all acids, especially short- and medium-chain fatty acids; however, this richness was not correlated with pleasant sensory attributes. Spirits obtained from Prijedorska zelenika and Masnjača apple cultivars had the best sensory attributes. Budeljača and Krakača pears are promising cultivars as flavoring in spirits production.

Spatial structure is the horizontal and vertical arrangement of individual trees. It affects many processes in the stand such as stability, production and regeneration. Stand structure parameters are used to describe spatial structure on experimental plots. The paper presents methods that describe the stand structure through three levels of diversity related to position, species and size. Research has been conducted on two experimental plots from the area of Olovo. Referent trees and their competitors were selected on both experimental plots, and competitors were defined by referent tree distance. The aim of this paper is to describe the spatial structure on experimental plot of European beech (Fagus sylvatica L.) and experimental plot of European beech and Scots pine (Pinus sylvestris L.). Indicators of spatial diversity, dimensional diversity and diversity of tree species have been determined to achieve that aim. For each experimental plots are described: horizontal tree distribution (Poisson Distribution, Clapham's Variance – Mean Ratio and Morisita's Index of Dispersion), diameter differentiation (Diameter Differentiation by Füldner and Dominance Index by Hui et al.), species diversity and structural diversity (Species Profile Index by Pretzsch) and species intermingling (Species Intermingling Index by Füldner). Obtained results show that the stand structure of both experimental plots deviates from random distribution. Dimensional diversity parameters indicate stronger intensity of competition for beech trees. Analysis of species diversity showed that beech trees occur in groups or patches, and the other represented species mix more intensive.

The most recent development in the underlying QUIC transport protocol has revived the interest in HTTP over QUIC (HTTP/3) as a communication protocol solution in cloud and edge computing. This development is notable especially given the rise in implementations of IoT edge/cloud continuum, a new computing paradigm that extends the cloud computing IoT via edge computing systems. In IoT cloud/edge continuum, benchmarking performance of the communication protocol of choice is critical. We focus for the first time on experimental benchmarking of HTTP/3 performance in an IoT cloud/edge continuum system. To benchmark the performance in terms of scalability and latency, we first implement HTTP/3 from a set of non-standardized open-source libraries, - which is challenge, and use the implementation in two main IoT scenarios: edge computing only (IoT devices running HTTP/3 clients and edge devices running an HTTP/3 server), and cloud/edge continuum (based on Google Firebase). Experimental results show that latency and scalability remain a challenge for HTTP/3, but its appeal also remains, in its wide adoption, embedded security and compatibility with existing networked systems.

The study’s primary purpose was to explore the abrasive water jet (AWJ) cut machinability of stainless steel X5CrNi18-10 (1.4301). The study analyzed the effects of such process parameters as the traverse speed (TS), the depth of cut (DC), and the abrasive mass flow rate (AR) on the surface roughness (Ra) concerning the thickness of the workpiece. Three different thicknesses were cut under different conditions; the Ra was measured at the top, in the middle, and the bottom of the cut. Experimental results were used in the developed feed-forward artificial neural network (ANN) to predict the Ra. The ANN’s model was validated using k-fold cross-validation. A lowest test root mean squared error (RMSE) of 0.2084 was achieved. The results of the predicted Ra by the ANN model and the results of the experimental data were compared. Additionally, as TS and DC were recognized, analysis of variance at a 95% confidence level was used to determine the most significant factors. Consequently, the ANN input parameters were modified, resulting in improved prediction; results show that the proposed model could be a useful tool for optimizing AWJ cut process parameters for predicting Ra. Its main advantage is the reduced time needed for experimentation.

Synovitis of the knee synovium is proven to be a precursor of knee osteoarthritis (OA), leading to a radiologically advanced stage of the disease. This study was conducted to elucidate the expression pattern of different inflammatory factors—NF-kB, iNOS, and MMP-9 in a subpopulation of synovial cells. Thirty synovial membrane intra-operative biopsies of patients (ten controls, ten with early OA, and ten with advanced OA, according to the Kellgren–Lawrence radiological score) were immunohistochemically stained for NF-kB, iNOS, and MMP9, and for different cell markers for macrophages, fibroblasts, leukocytes, lymphocytes, blood vessel endothelial cells, and blood vessel smooth muscle cells. The total number of CD68+/NF-kB+ cells/mm2 in the intima of early OA patients (median = 2359) was significantly higher compared to the total number of vimentin+/Nf-kB+ cells/mm2 (median = 1321) and LCA+/NF-kB+ cells/mm2 (median = 64) (p < 0.001 and p < 0.0001, respectively). The total number of LCA+/NF-kB+ cells/mm2 in the subintima of advanced OA patients (median = 2123) was significantly higher compared to the total number of vimentin+/NF-kB+ cells/mm2 (median = 14) and CD68+/NF-kB+ cells/mm2 (median = 29) (p < 0.0001). The total number of CD68+/iNOS+ cells/mm2 in the intima of both early and advanced OA patients was significantly higher compared to the total number of vimentin+/iNOS+ cells/mm2 and LCA+/iNOS+ cells/mm2 (p < 0.0001 and p < 0.001, respectively). The total number of CD68+/MMP-9+ cells/mm2 in the intima of both early and advanced OA patients was significantly higher compared to the total number of vimentin+/MMP-9+ cells/mm2 and CD5+/MMP-9+ cells/mm2 (p < 0.0001). Macrophages may have a leading role in OA progression through the NF-kB production of inflammatory factors (iNOS and MMP-9) in the intima, except in advanced OA, where leukocytes could have a dominant role through NF-kB production in subintima. The blocking of macrophageal and leukocyte NF-kB expression is a possible therapeutic target as a disease modifying drug.

Background: Arteriovenous malformation (bAVM) presents maldevelopment of the brain’s vessels with a direct connection between cerebral arteries and veins. By current data, patients from Spetzler Ponce A (SP) are found to benefit from the treatment. Considering the outcome, most of SP C and some of the SP B are the most debatable. Objective: Arteriovenous malformation presents maldevelopment of the brain’s vessels with a consequent direct connection between cerebral arteries and veins. The annual risk of hemorrhage in adults is reported for 2-3 %. They usually present with unilateral headaches seizures and intracranial hemorrhage. By current data, patients from Spetzler Ponce A (SP) are found to benefit from the treatment. Considering the outcome, most of SP C and some of the SP B are the most debatable. Methods: The study included a cohort of bAVM patients referred to Fujita Health University Bantane Hotokukai Hospital, Nagoya, Aichi, Japan where the main author (AA) has completed an international cerebrovascular fellowship under the mentorship of Professor Yoko Kato. Japanese Stroke Guidelines (JSG) were used for the treatment decision. Patients were graded according to the Spetzler Ponce (SP) system. Considering American Heart Association criteria (AHA), embolization was used as a part of multimodal treatment. Intraoperative microscopic video tools included Indocyanine green ICG, FLOW 800 and dual image video angiography DIVA. Clinical outcomes were measured using Modified Ranking Score (mRs). Results: A total of eleven patients with brain bAVM were studied with a median age of 32 years [IQR = 22-52]. There were ten patients presented with supratentorial and a single patient with infratentorial AVM. Patients were graded according to the Spetzler Ponce (SP) system. There were eight patients in SP A (72,7%), one in group B (9 %) while the rest of them were in C (18 %). Two patients had associated aneurysms that required treatment. The median size of the AVM nidus was 3,50 cm [IQR= 2-5]. Deep venous drainage was found in six patients while three were located in eloquent zones. Clinical outcomes were considered good by mRs <2 in eight patients, seven from the surgically treated group (72,7 % respectively). Surgery median length time was 427, 5 minutes; [IQR =320 - 463] with complete AVM resection in all patients and no mortality recorded in this cohort with the median follow up of 39,5 months [IQR = 19-59]. Conclusion: Ideal management of bAVM is still controversial. Those complex vascular lesions require multimodal treatment in a majority of cases in highly specialized centers. In SP A patients, surgery provides the best results with a positive outcome and a small number of complications. With the improvement of endovascular feeder occlusion SP B patients become prone to a more positive outcome. Nowadays, intraoperative microscopic tools such as FLOW 800, ICG and DIVA are irreplaceable while improving safety to deal with bAVM. For SP C patients, a combination of endovascular and stereotactic radiosurgery was found to be a good option in the present time.

Length of the primary forest roads in the Federation of BiH is 11.821,00 km that includes the categories of public and forest truck roads. Cantonal Public companies for forest management in the Federation of BiH are responsible for the design, construction and maintenance of forest truck roads. The starting point in the analysis related to forest truck roads is to determine the quality and quantity of the existing forest road network. This paper deals with data for all forest truck roads in the territory of Federation of BiH that in total includes 2.907 forest truck roads. The following data were collected and analysed: pavement type, pavement width, longitudinal slope and traffic load per year per 24 h. The analysis of these elements can serve as the basis for categorizing of forest truck roads into primary, secondary and access roads, as well as starting point in planning process related to the maintenance works and future forest road construction.

The article's abstract is not available.