Introduction: Cervical pain syndrome (CPS), or pain in the neck, is defined as a set of symptoms that limit performing movements in the upper part of the back and last more than 1 day. When the mentioned symptoms last for more than 12 weeks, we talk about chronic CPS. It often represents the condition that results from disability. It is associated with poor posture, work in sitting position, stress, and long-lasting and repetitive movements. The aim of the study was to examine the effect of physical therapy on the degree of disability, pain intensity, and daily life and work activities of persons with chronic CPS.Methods: The research was conducted in the health spa center “Reumal” Fojnica from June 2020 until July 2020. It included 50 subjects of both genders, more than 18 years old, and of all occupations, treated with physiotherapy procedures (transcutaneous electrical nerve stimulation, magnetotherapy, therapeutic ultrasound, and kinesitherapy in the form of McKenzie exercises). In addition, a pre- and post-treatment study analyzed the condition of the respondents at the first examination and the control examination after completion of treatment.Results: By analyzing the results, we established that of the total number of respondents, 74% were female, and the average age was 57.36 years. At the end of the study, the degree of disability caused by neck pain was significantly lower (p < 0.05) than the degree of disability before the therapy. Discomfort caused by symptoms of CPS that occurred and interference with work before the therapy was significantly lower (p < 0.05) after the treatment program. Therapeutic procedures have reduced the pain intensity and improved the activities of everyday life.Conclusion: The treatment with physical therapy procedures effectively reduces the degree of disability and pain intensity and improves people’s daily life and work activities with chronic CPS.

The link between ancient Greek medicine and the Arabic translation period in the 9th Century cannot be understood without studying the contributions of Syriac scholars. With their mastery of Greek and the related Semitic languages of Syriac and Arabic, they initiated a scientific translation process with methods that prevail to this day. In this paper, we reviewed Hunayn Ibn Isshaq's Ten Treatises on the Eye to elucidate the original contributions of the Syriac physicians to the field of neurological surgery. We analyzed the oldest known diagram of orbital anatomy along with Hunayn's genuine ideas on the optic nerve anatomy and pathology, optic chiasm, afferent pupillary reflex, and papilledema and venous congestion. We also reviewed the neurosurgical elements found in the Syriac Book of Medicines, including the thought process in localizing neurological deficits based on clinical experience and anatomical dissections, and the earliest recorded description of brachial plexus pathology.

The main objective of this research is to establish a connection between orthodontic mini-implant design, pull-out force and primary stability by comparing two commercial mini-implants or temporary anchorage devices, Tomas®-pin and Perfect Anchor. Mini-implant geometric analysis and quantification of bone characteristics are performed, whereupon experimental in vitro pull-out test is conducted. With the use of the CATIA (Computer Aided Three-dimensional Interactive Application) CAD (Computer Aided Design)/CAM (Computer Aided Manufacturing)/CAE (Computer Aided Engineering) system, 3D (Three-dimensional) geometric models of mini-implants and bone segments are created. Afterwards, those same models are imported into Abaqus software, where finite element models are generated with a special focus on material properties, boundary conditions and interactions. FEM (Finite Element Method) analysis is used to simulate the pull-out test. Then, the results of the structural analysis are compared with the experimental results. The FEM analysis results contain information about maximum stresses on implant–bone system caused due to the pull-out force. It is determined that the core diameter of a screw thread and conicity are the main factors of the mini-implant design that have a direct impact on primary stability. Additionally, stresses generated on the Tomas®-pin model are lower than stresses on Perfect Anchor, even though Tomas®-pin endures greater pull-out forces, the implant system with implemented Tomas®-pin still represents a more stressed system due to the uniform distribution of stresses with bigger values.

The manuscript presents a model of partial discharge activity taking place in the protrusion defect inside the cable system. Through such approach COMSOL MPh provides the capacitance values obtained from the model of power cable containing defect, while conventional capacitive equivalent circuit built in MATLAB, uses these values in order to describe partial discharge activity. Having in mind that real protrusions represent non-regular shaped cavities whose analytical capacitance computation is very complex, use of COMSOL Mph facilitates capacitance computation and then provides convenient platform for the MATLAB capacitive circuit use for non-regular shaped cavities.

Identification of key indicators that cause safety challenges and vulnerable roads is crucial for improving traffic safety. This paper, therefore, entails to the development of a novel multiphase multicriteria decision-making (MCDM) model to evaluate the vulnerability of urban roads for traffic safety. This was conducted by using data from 17 important roads of a South African city and combining several methods such as CRiteria Importance through Intercriteria Correlation (CRITIC), data envelopment analysis (DEA), and measurement of alternatives and ranking according to compromise solution (MARCOS). Taking the elements of the DEA method, two new approaches for calculating the weights of criteria, the DEA-1 and DEA-2 models, were formed and integrated with the CRITIC method to obtain the final values of criteria weights. The MARCOS method was applied to evaluate 17 alternatives, for each direction separately. The aim of developing such a model is to use the advantages of obtaining objectivity of criteria weights through linear programming and correlation of values of the collected data. Also, the MARCOS method, as one of the newer and applicable methods, provides additional significance. Extensive sensitivity analyses were conducted to validate the model. The findings suggest that there are a certain number of roads that have a high level of safety for both directions, as well as a group of risky roads, which need traffic improvement measures. Thus, the results indicate that the model is sensitive to various approaches and can prioritize vulnerable roads comprehensively based on which safety measures can be taken.

Tuberculous trochanteric bursitis (TTB) is an extremely rare form of extrapulmonary tuberculosis. Due to a low clinical suspicion and poor collaboration among medical professionals, the diagnosis of TTB can be often delayed. In this report, we describe a case of neglected TTB in an adolescent girl that initially presented with right thigh swelling and fluctuance. The patient underwent repeated unsuccessful surgical treatment; however, dull pain and periodic wound drainage remained for eight years. Complete excision of fistula and trochanteric bursa and one year of oral antituberculous drug therapy led to complete recovery. This case report highlights tuberculosis as a diagnostic challenge, when rare localizations are affected. In addition, this report addresses several diagnostic pitfalls and reviews the literature regarding TTB in adolescent patients. Orthopedic surgeons need to consider TTB, when swelling, fluctuance or repeated wound drainage are present on the thigh.

Aims Social isolation in people living with schizophrenia is associated with poor quality of life and increased symptom severity. Volunteer befriending interventions are a potential strategy for addressing social isolation, but evidence of their effectiveness is limited, particularly in low- and middle-income countries. We assessed the experiences of volunteer befriending and tested its effectiveness for improving the quality of life of patients with schizophrenia in Bosnia and Herzegovina. Methods Between March 2018 and July 2020, we conducted a parallel-group, randomised controlled trial in adults with schizophrenia and poor quality of life at an outpatient clinic in Sarajevo. Patients were randomised to either the intervention, in which they were matched with a volunteer befriender with whom they met fortnightly over the 6-month intervention period, or treatment as usual. The primary outcome was quality of life measured on the Manchester Short Assessment and secondary outcomes were psychiatric symptoms and objective social outcomes. Outcome measurement was conducted by blinded researchers at 6- and 12-months. Results In total, 65 patients were randomised into the intervention (n = 33) and control arms (n = 32) and 55 (85%) completed follow-up assessments at 6 months. Patients in the intervention showed a significantly more favourable quality of life at 6 months (primary outcome; mean difference: 0.7, 95% CI [0.3–1.1], p = 0.003) and 12 months (mean difference: 1.7, 95% CI [1.1–2.3], p < 0.001). They also had significantly lower symptom levels at both follow-ups, and a significantly more favourable objective social situation after 12 months. Participants reported largely positive experiences. Conclusion The exploratory trial conducted at one site found sustained improvements in quality of life and reductions in psychiatric symptoms. This suggests that volunteer befriending may be a feasible and effective treatment for patients with schizophrenia in resource-limited contexts, such as Bosnia and Herzegovina.

Human Y-chromosomal haplogroups are an important tool used in population genetics and forensic genetics. A conventional method used for Y haplogroup assignment is based on a set of Y-single nucleotide polymorphism (SNP) markers deployed, which exploits the low mutation rate nature of these markers. Y chromosome haplogroups can be successfully predicted from Y-short tandem repeat (STR) markers using different software packages, and this method gained much attention recently due to its labor-, time-, and cost-effectiveness. The present study was based on the analysis of a total of 480 adult male buccal swab samples collected from different regions of Bosnia and Herzegovina. Y haplogroup prediction was performed using Whit Athey’s Haplogroup Predictor, based on haplotype data on 23 Y-STR markers contained within the PowerPlex® Y23 kit. The results revealed the existence of 14 different haplogroups, with I2a, R1a, and E1b1b being the most prevalent with frequencies of 43.13, 14.79, and 14.58%, respectively. Compared to the previously published studies on Bosnian-Herzegovinian population based on Y-SNP and Y-STR data, this study represents an upgrade of molecular genetic data with a significantly larger number of samples, thus offering more accurate results and higher probability of detecting rare haplogroups.

The surface integrity of any manufactured product produced in machining process has proved to have a significant impact on the performance of the product. Many parameters influence the integrity of the surface, few of which are microstructure of the material, surface roughness, residual stresses etc. Out of which the present work focuses on the residual stress of the machining, which majorly effects the fatigue strength of the product. Understanding the significance of residual stresses in machining, and influencing it using three basic parameters:  feed, cutting speed and depth of cut to increase the products performance and life by optimizing these measures to best possible combination. It is done using both experimental and numerical methods and authors have compared the numerical and experimental values. For experimental purposes AISI 1045 steel was used and the residual stresses measurement was done using X-ray diffraction method. 

INTRODUCTION Coastal locations contribute significantly to global drowning, with surfers frequently conducting rescues. This study explored the characteristics of surfers as bystander rescuers in Europe. METHODS A cross-sectional online survey collected demographics (age, sex, geographical location), surfing experience, ability, lifesaving and cardiopulmonary resuscitation (CPR) training, information seeking behaviors and previous performance of a rescue. Analyses comprised descriptive frequencies, binomial logistic regression with adjusted odds ratio (AOR) (95% confidence interval [CI]) and chi-squares (p < .05). RESULTS Europe-dwelling respondents totaled 1705 (76% male; 43% 25-34 years). Thirty-nine percent (39.2%; n = 668) had previously performed a rescue. Likelihood of having conducted a rescue significantly increased with 6 or more years of surfing experience (6-10 years [AOR = 1.96; 95%CI: 1.20-3.22]; 11-15 years [AOR = 3.26; 95%CI: 1.56-6.79]; 16 years or more [AOR = 4.27; 95%CI: 2.00-9.11]) when compared to surfers with <1 year experience. Expert/professional ability surfers were 10.89 times (95%CI: 4.72-25.15) more likely to have conducted a rescue than novice/beginners. Respondents who had received both a certified lifeguard and CPR course were significantly more likely to have conducted a rescue (AOR = 3.34; 95%CI: 2.43-4.60). CONCLUSION Surfers who had previously conducted rescues commonly had more years of experience, higher self-rated surf ability and greater likelihood of having received certified training. However, not all surfers who have performed rescues had received training. Findings suggest surfers should receive rescue and CPR training before they start surfing at locations without trained supervision and refresh training regularly. Surfers are amenable to injury prevention information, especially online and via apps.

Nutrient losses from headwater catchments (<50 km2) cause eutrophication problems downstream. Catchment properties are strongly reflected in the levels of nutrient concentrations in headwater streams. Based on measurements of total and dissolved nitrogen (TN, DN) and phosphorus (TP, DP) in 235 small headwater streams, we showed that proportion of arable land in a catchment had the strongest positive effect on nutrient concentrations, with coefficient of determination (R2) of 0.54, 0.64, 0.45, and 0.51 for TN, DN, TP, and DP, respectively. In contrast, increased proportion of forest and wetland led to lower nutrient concentrations in streams. The geological composition of catchments had a major influence on the soil properties. In turn, certain soil properties, such as clay content and content of aluminum (Al), an important binding agent of P, influenced losses of particulate P (PP) and DP, respectively. Consequently, by using soil properties as a link between geology and water quality, areas potentially sensitive to nutrient losses were identified by classifying bedrock categories into three geological groups. Approximately 25% of Swedish arable land was identified as potentially sensitive. Sensitive catchments were found in regions with sedimentary bedrock and showed higher concentrations of dissolved nutrient fractions even when the proportion of agricultural land was small, indicating higher background concentrations.

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