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L. Alic, J. Griffin, Aydin Eresen, J. Kornegay, J. Ji

There is a great demand for accurate non‐invasive measures to better define the natural history of disease progression or treatment outcome in Duchenne muscular dystrophy (DMD) and to facilitate the inclusion of a large range of participants in DMD clinical trials. This review aims to investigate which MRI sequences and analysis methods have been used and to identify future needs. Medline, Embase, Scopus, Web of Science, Inspec, and Compendex databases were searched up to 2 November 2019, using keywords “magnetic resonance imaging” and “Duchenne muscular dystrophy.” The review showed the trend of using T1w and T2w MRI images for semi‐qualitative inspection of structural alterations of DMD muscle using a diversity of grading scales, with increasing use of T2map, Dixon, and MR spectroscopy (MRS). High‐field (>3T) MRI dominated the studies with animal models. The quantitative MRI techniques have allowed a more precise estimation of local or generalized disease severity. Longitudinal studies assessing the effect of an intervention have also become more prominent, in both clinical and animal model subjects. Quality assessment of the included longitudinal studies was performed using the Newcastle‐Ottawa Quality Assessment Scale adapted to comprise bias in selection, comparability, exposure, and outcome. Additional large clinical trials are needed to consolidate research using MRI as a biomarker in DMD and to validate findings against established gold standards. This future work should use a multiparametric and quantitative MRI acquisition protocol, assess the repeatability of measurements, and correlate findings to histologic parameters.

D. Abueidda, Q. Lu, S. Koric

Deep learning (DL) and the collocation method are merged and used to solve partial differential equations (PDEs) describing structures' deformation. We have considered different types of materials: linear elasticity, hyperelasticity (neo‐Hookean) with large deformation, and von Mises plasticity with isotropic and kinematic hardening. The performance of this deep collocation method (DCM) depends on the architecture of the neural network and the corresponding hyperparameters. The presented DCM is meshfree and avoids any spatial discretization, which is usually needed for the finite element method (FEM). We show that the DCM can capture the response qualitatively and quantitatively, without the need for any data generation using other numerical methods such as the FEM. Data generation usually is the main bottleneck in most data‐driven models. The DL model is trained to learn the model's parameters yielding accurate approximate solutions. Once the model is properly trained, solutions can be obtained almost instantly at any point in the domain, given its spatial coordinates. Therefore, the DCM is potentially a promising standalone technique to solve PDEs involved in the deformation of materials and structural systems as well as other physical phenomena.

Marko R. Popadić, S. Ristić

Introduction. Art reception and experiencing is a complex process, containing creative components. The experience of a work of art involves reproduction, in the viewer's consciousness, of the experiences and excitement that the artist himself or herself have undergone in the process of creating the same works of art. When viewing visual images, our perception is directed towards the identification of objects, and when viewing visual images as works of art, we also tend to experience them - we subjectively react to elements, such as stylistic and structural characteristics. The aim of the research is to examine the effectiveness of the experimental program named the Impact of Verbal, Auditory and Visual Incentives, designed to foster students' visual perception and visual reception during art education. Methods. The experimental method with parallel groups was used. The research included the sample consisting of 98 students, out of which 45 belonged to experimental group while 53 were control students from Trebinje region. Test LV1, examining visual creativity, as well as visual perception and visual reception (art appreciation), was used. Results. The results indicated that the experimental program influenced the development of the visual perceptive (F = 3.76; p = 0.05) and visual receptive (F = 8.01; p = 0.00) abilities among students during art education because the experimental group students achieved significantly better results than the control group students. The experimental program was aligned with the curriculum and designed to influence the development of students' visual-perceptual and visual-receptive abilities. Conclusion. The obtained results indicate that it is possible to influence the development of students' visual-perceptual and visual-receptive abilities by using a specially designed program, aimed at stimulating verbal, auditory and visual aspects of visual expression.

Introduction: Changes in the skin can occur as part of a diabetic, metabolic disorder or diabetic complications. Studies have shown that diabetes has an extremely strong negative impact on quality of life, especially diabetes with complications. Aim: Examine the impact of skin changes in patients with type 2 diabetes mellitus on quality of life. Methods: A prospective study analysed the quality of life in 200 respondents with type 2 diabetes mellitus which had diabetes-related skin changes. Subjects were divided into four groups according to the type of skin changes associated with diabetes mellitus. Group 1 consisted of patients which had skin changes with a greater or lesser association with diabetes mellitus, group 2 patients with infections, group 3 patients with cutaneous manifestations of diabetic complications and group 4 patients with allergic reactions to antidiabetic therapy. Quality of life assessment was performed using the Skindex-29 questionnaire, and the Nijsten categorization was used to assess the impact of skin changes in patients with type 2 diabetes mellitus on quality of life. Results: There were (51.95%) respondents in group 1, group 2 (24.02%), group 3 (22.22%) and group 4 (1.8%) respondents. In the scale of emotions in 84 respondents (43.0%) the impact on quality of life was serious, in the scale of symptoms in 96 (48%) was moderate, and in the scale of social and physical functioning 106 (55%) also had a moderate impact on quality of life, as well as in the total score of 94 respondents (47%). There was a statistically significant difference in the scale of social and physical functioning in the presence of skin changes in group 1 (x2 = 7.95; df = 3, p = 0.045) and group 3 (x2 = 12.48, df = 3; p = 0.006), and in the total score of Skindex-29 when it comes to changes in the skin of group 3 (x2 = 7.26, df = 3, p = 0.05). Conclusion: the quality of life in patients with type 2 diabetes mellitus which have skin changes is significantly reduced.

Abstract Background The aim of the study was to determine the ability of ferritin, haemoglobin, albumin and total cholesterol to identify nutritional risk and malnutrition among elderly primary care patients. Methods The cross-sectional study included 446 elderly adults over 65 years of age from four areas of Bosnia and Herzegovina. In addition to anthropometric, functional, cognitive and biochemical indicators, nutritional status was evaluated using 24-hour recall of meals, the Mini Nutritional Assessment (MNA), and Seniors in the Community: Risk Evaluation for Eating and Nutrition, Version II (SCREEN II). Results Malnourished/at-risk study respondents had lower mean levels of haemoglobin (P=0.001) and total cholesterol (P<0.001), compared to those with normal nutritional status. Albumin levels significantly differed regarding nutritional status (P=0.004), but not nutritional risk level (P=0.521). Significant differences in serum ferritin levels were not found between malnourished and normally nourished study respondents (P=0.779) Determinants of albumin level were eating more than three meals a day (P<0.001), fewer than two portions of fruit and vegetables a day (P=0.024), drinking one glass of wine (P<0.001) and reporting functional independence (P=0.011). The AUC curves for serum ferritin, albumin and total cholesterol levels in men and women, as well as for haemoglobin levels in women, were poor to fair (AUC<0.800). Conclusion Although ferritin, haemoglobin, albumin and total cholesterol may be useful biomarkers of nutritional status, their accuracy in diagnosing malnutrition and nutritional risk among elderly primary health care patients is limited.

Jagoda Balaban, Radojka Bijelić, S. Miličević, Kosana Stanetić, N. Grbic

Background: Diabetes is a metabolic disease that is taking an epidemic proportion around the world. The occurrence of microvascular complications and diabetic foot ulcer is associated with an increased mortality and morbidity incidence, which is the most serious complication of this disease, which significantly reduce the quality of patient life. Objective. The aim of the study was to determine the correlation of extracutaneous microvascular complications with diabetic foot ulcer in patients with type 2 diabetes. Method. The study was prospective, and included 160 patients with type 2 diabetes. It was conducted at the University Clinical Center of the Republic of Srpska in the period from January 2016 until December 2019. The respondents were adults, of both sexes, suffering from type 2 diabetes, in whom complications of this disease are present. Glycemic control was established based on a target HbA1c value of 7%. Results. Of the 160 patients in the study, 53.8% were men and 46.2% were women. The average age of the patients was 70.11%±10.05 years. Extracutaneous microvascular complications were present in 85 patients (53.1%); of which 30.2% had well-regulated glycemia (HbA1c≤7.0%), while 61.5% (p<0.001) had unregulated glycemia (HbA1c≥7.0). Polyneuropathy was present in 23.3% of patients with HbA1c≤7.0%, while 41.0% of patients had HbA1c≥7.0% (p<0.043). Nephropathy with HbA1c≤7.0% was present in 36.8% of cases compared to patients with HbA1c≥7.0 in whom the prevalence was 36.8% (p<0.004). Out of total, 25.6% had retinopathy with HbA1c≤7.0%, while in 41.9% of patients with HbA1c≥7.0% (p <0.067). Diabetic ulcer foot was present in 13 patients with HbA1c≥7 (11.1%) compared to patients with HbA1c≤7.0% where there was no occurrence of this complication 0.0% (p<0.021). At the same time, 5.6% of patients had a diabetic foot ulcer with polyneuropathy (p=0.010), 4.4% had neuropathy (p=0.058) and 5.6% had retinopathy (p=0.014). Conclusion: The high incidence of extracutaneous microvascular complications and diabetic foot ulcer in patients with type 2 diabetes requires a multidisciplinary approach of medical professionals that includes prevention of risk factors and good regulation of glycemia.

I. Pilav, A. Alihodžić-Pašalić, S. Mušanović, Kenan Kadić, M. Dapčević, O. Čustović

Background: Video-Assisted Thoracoscopic Surgery (VATS) has recently occupied a significant place in the surgical treatment of primary pleural empyema (PPE). Patients with anamnesis shorter than 4 weeks have a good chance of being cured only by VATS. As it is not easy to define precisely the beginning of the disease, it is difficult to say strictly to which period VATS method will be successful in PPE treatment. Objective: The aim of this study was to determine the efficacy of the VATS method in the surgical treatment of primary pleural empyema. Methods: The study included 50 patients with findings appropriate for PPE over a period of three years, in whom the VATS method was applied in the surgical treatment of pleural empyema. Results: The established total length of treatment was 13.56 ± 7.98 days and the length of hospital treatment after surgery was 9.90 ± 3.315. The duration of thoracic drainage was 8.06 ± 3.005. Treatment was completed by the primary procedure without additional interventions in 94% of patients. Based on the final outcome, all patients from the clinic were discharged as cured Conclusion: The best time to indicate surgical treatment by using VATS method is history of disease in duration of four weeks Debridement or VATS decortication method is safe and efficient surgical procedure, especially in the first two stages. It is recommended to use this method as the first surgical option for patients in early stages of the disease.

C. Costa, Suzane da Rocha Vieira Gonçalves

Este estudo objetiva discutir a proposta do Programa de Residencia Pedagogica (PRP), relacionado a Politica Nacional de Formacao de Professores, apresentada pelo MEC em 18 de outubro de 2017. A proposta de Residencia Pedagogica foi apresentada no governo de Michel Temer no ano de 2017, teve seu rumo incerto apos uma breve descontinuidade em 2019 e foi retomada com o lancamento de um novo edital no ano de 2020. Destacamos que o atual contexto politico e educacional do Brasil demanda discussoes aprofundadas que busquem problematizar as concepcoes presentes nos projetos de formacao docente em disputa. Intentamos no desenvolvimento desta pesquisa, analisar a proposta do Programa de Residencia Pedagogica, bem como seus possiveis efeitos para a formacao de professores no Brasil. O estudo se organiza em 4 secoes, buscando uma retomada historica da constituicao da formacao docente no pais para a investigacao acerca das concepcoes de formacao docente presentes no PRP. A presente investigacao esta fundamentada na perspectiva metodologica da pesquisa qualitativa, a partir da analise documental e da analise de conteudo. Com este estudo, foi possivel perceber que o PRP vem ao encontro de premissas tecnicistas do fazer docente e demonstra em sua essencia uma visao pragmatica da formacao de professores, entretanto, a autonomia universitaria permitiu algumas iniciativas contra hegemonicas para a organizacao do projeto. PALAVRAS-CHAVE: Formacao de professores; residencia pedagogica; politicas educacionais. Doi: 10.21703/rexe.20201941caporal17

Jasmina Kulović, Sabina Baraković, J. Husić

Abstract The Web of Things (WoT) emerges from applying Web technologies to the Internet of Things (IoT) to access information and services of physical objects. These systems are likely to characterize the future of digital environment and they put certain security issues in the story. In order to help detect potential threats to WoT-system that is being built and designed, it is advisory to implement a threat modelling process. Threat modelling is an engineering technique that can be used to identify threats, attacks, vulnerabilities and appropriate countermeasures in the context of a particular application and is a process best implemented at the system design stage. In this paper, we will analyse the threats for WoT-based door management system by using Microsoft Threat Modeling Tool (MTMT) in order to identify potential threats for this system in design phase. Obtained results justified the use of threat modelling in the design phase given that we have identified in total 89 threats, with Elevation of privilege and Denial of Service (DoS) being the most prominent ones. Those threats are characterized as high and medium risk ones.

Tarik Dervišević, Sabina Baraković, J. Husić

Abstract In the process of designing and forming each system, it is necessary to identify potential vulnerabilities and threats to that system and to include appropriate countermeasures. The process that helps to find the problem in the first phase of design is called threat modeling. Threat modeling is based on the idea that every system has valuable resources that need to be protected. These resources have certain weak points that internal or external threats can use to harm them, while there are as well countermeasures used to mitigate them. Therefore, this paper analyses the security of a Web of Things (WoT)-based system for remote management of windows, which is in the design stage by using a threat modeling approach based on STRIDE and DREAD. The results obtained through Microsoft Threat Modeling Tool (MTMT) justified the use of threat modeling in the design phase given that we have identified in total 118 threats, with Elevation of privilege class of threats being the most prominent ones. The Information disclosure threats are found to be the ones characterized as medium and low risk ones, while the most represented high-risk threats again come from the Elevation of privilege class of threats.

Lina Miloshevska, Elżbieta Gajek, Nihada Delibegović Džanić, Çiler Hatipoğlu

Abstract In spring 2020 both teachers and learners experienced the interruption of education as it had been established for over 150 years and seemed to be unchangeable. The paper focuses on students’ perspectives on how they perceive the changes in learning due to the pandemic educational emergency response based on the results of a survey of students in four countries: Bosnia and Herzegovina, North Macedonia, Poland and Turkey. We aim at discussing the data collected at the end of the 2019-2020 Spring semester. The research focuses on the accessibility of the tools for learning, modes of instruction, as well as interaction patterns. In addition, we present students’ opinions on the difficulties they experienced, the learning strategies they adopted and what aspects of online learning should remain as a regular educational practice after the pandemic period.

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