Aim To determine preferable type of treatment in our clinical circumstances by following two groups of patients with critical limb ischemia (CLI), who were treated endovascularly and surgically. Methods Research was carried out in the form of a prospective study of 80 patients with CLI and Trans-Atlantic Inter-Society Consensus (TASC) C or D type of arterial disease, with American Society of Anesthesiology (ASA) class III risk, who were randomly divided in two groups as per the treatment they received, surgical and endovascular. Patients were followed during 28 months using clinical examination and Duplex Ultrasound (DUS) in accordance with prescheduled control visits. Results There was a statistical difference between surgical and endovascular group in two years patency (82.5% vs. 55%; p=0.022) but it did not result in the difference in amputation free survival (AFS) (95% vs. 85%; p=0.171) or two-year freedom from major adverse limb events (MALE) (87.5 vs. 77.5; p=0.254). Also, there was no difference in the overall survival of patients (100% vs. 97.5%; p=0.317). Conclusion Initial endovascular treatment is a preferred form of the treatment for selected patient population.

In contrast to classical appendectomy where the appendiceal stump is secured by a single or double ligature, in laparoscopic appendectomy various ways of securing the stump are mentioned. Each of these methods has advantages and disadvantages. Since different possibilities exist for closing the stump, it is very important to find the optimum method for closure of the appendiceal stump, bearing in mind their simplicity, biocompatibility and price. The aim of this review article has been to present the problem of securing the base of the appendix during laparoscopic appendectomy.

Modeling of pressure rise in SF6 GIS (Gas Insulated Switchgear) due to internal arc faults is a complex and challenging task, due to a large number of highly variable factors, which influence the whole process. This is especially the case in GIS with high rated short circuit currents, where the effects, such as material evaporation and erratic arc behavior, and consequently the pressure build-up rate, are much more pronounced. These severe conditions ultimately determine the design limits and must therefore be carefully investigated. The enhanced internal arc simulation model, presented in this paper, considers the impact of evaporation of different materials on gas properties and the pressure rise, as well as the dependence of released arc energy, thermal transfer and evaporation intensity on the state of gas. The experimental set-up and the test configuration, used to validate the calculation results, are evaluated and discussed. An evident finding, which is supported by measurements, is that the implemented improvements of the basic simulation model (introduced in the Technical Brochure 602 by the CIGRÉ working group A3.24) increase the prediction accuracy of GIS withstand performance during internal arc faults.

In this short demo paper, we introduce godash 2.0 godash is a headless HTTP adaptive streaming (HAS) video streaming platform written in the Google programming language GO. godash has been extensively rewritten for this release so as to provide ease of use, and a host of new features. godash includes options for eight different state of the art adaptive algorithms, five HAS profiles, four video codecs, the ability to stream audio and video segments, two transport protocols (TCP and QUIC), realtime output from five Quality of Experience (QoE) models, as well as a collaborative framework for the evaluation of cooperative HAS streaming. In this demo, we will introduce each of the options available in the godash configuration file, and illustrate examples of how to use the collaborative players using both godash on a native machine as well as godash within godashbed. godashbed is an integrated large-scale testbed framework for the evaluation of HAS streaming, which uses a virtual environment to serve video content locally (which allows setting security certificates) through the Mininet virtual emulation tool. In this manner, godash provides a framework for rapid deployment and testing of new HAS algorithms, QoE models and transport protocols.

In this paper, we present our work in close-distance non-verbal communication with tabletop robot Haru through hand gestural interaction. We implemented a novel hand gestural understanding system by training a machine-learning architecture for real-time hand gesture recognition with the Leap Motion. The proposed system is activated based on the velocity of a user's palm and index finger movement, and subsequently labels the detected movement segments under an early classification scheme. Our system is able to combine multiple gesture labels for recognition of consecutive gestures without clear movement boundaries. System evaluation is conducted on data simulating real human-robot interaction conditions, taking into account relevant performance variables such as movement style, timing and posture. Our results show robustness in hand gesture classification performance under variant conditions. We furthermore examine system behavior under sequential data input, paving the way towards seamless and natural real-time close-distance hand-gestural communication in the future.

Manufacturers of automated systems and their components have been allocating an enormous amount of time and effort in R&D activities. This effort translates into an overhead on the V&V (verification and validation) process making it time-consuming and costly. In this paper, we present an ECSEL JU project (VALU3S) that aims to evaluate the state-of-the-art V&V methods and tools, and design a multi-domain framework to create a clear structure around the components and elements needed to conduct the V&V process. The main expected benefit of the framework is to reduce time and cost needed to verify and validate automated systems with respect to safety, cyber-security, and privacy requirements. This is done through identification and classification of evaluation methods, tools, environments and concepts for V&V of automated systems with respect to the mentioned requirements. To this end, VALU3S brings together a consortium with partners from 10 different countries, amounting to a mix of 25 industrial partners, 6 leading research institutes, and 10 universities to reach the project goal.

Aim To identify E. coli from chicken meat, establish their antibiotic resistance profiles and to confirm ESBL isolates with real time PCR, as well as to identify risk factors and farming practice associated with the antimicrobial resistance E. coli. Methods The study included 100 chicken skin samples collected randomly from retail supermarkets, butcheries and slaughterhouses. Disk susceptibility testing was performed using the Kirby-Bauer method. Detection of ESBL-producing isolates was performed with double disk synergy test. Molecular analysis of phenotypic ESBL-producing Escherichia coli strains was performed at 7500 real time PCR System. Molecular-genetic analysis included detection of CTX-M 1, 2, and 9 gene families and mutations in the TEM and SHV encoding extended spectrum β-lactamases. Results Prevalence of the phenotypic ESBL-producing E. coli isolates was 29%, and they exhibited remarkable sensitivity to carbapenems (100%) as well as to amikacin (93.10%). All ESBL-producing strains were multidrug resistant. Molecular analysis was performed as the final confirmation of the production of extended spectrum β - lactamases for 24 isolates out of 29 phenotypicaly ESBL-producing E. coli isolates. Conclusion It is important to pay attention to people's awareness of bacterial antimicrobial resistance in food chain, as well as to understand its effects on human health and the environment. Phenotypic and molecular analysis demonstrated the presence of ESBL-producing E. coli isolates from chicken skin samples.

Aim To investigate the association of ABO blood types and appearance of myocardial infarction (MI) among the population in Bosnia and Herzegovina. Methods This was a cross sectional study conducted at the Department for Cardiovascular Surgery at the Clinical Centre of the University of Sarajevo from January 1st to December 31st 2019. Patients were divided into two groups, defined by their blood type, A (N=91) and non-A (N=109). ABO blood groups were determined using standard agglutination techniques. Information regarding history of MI was taken from their medical documentation during the preparation for surgery. Results In total 200 patients were involved in this study. The study sample consisted of 151 (74.5%) males and 49 (25.5%) females. Mean age was 62.98 ± 7.73. Various risk factors associated with myocardial infarction were tobacco 92 (46.0%) and alcohol 54 (27.0%) consumption, obesity 77 (38.5%), diabetes mellitus 47 (23.5%) and hypertension 91 (45.3%). Being A blood type (OR=3.308; 95% Cl 1.317-8.311; p=0.011) and being male and having hypertension (OR=3.086; 95% Cl 1.262-7.545; p=0.013) significantly increased the risk for the development of MI among young adults. Patients with A blood type were significantly younger [median 58.0 vs. 63.0; U = 2738.5; p =0.027] when they developed MI compared to non-A blood type. Conclusion The age of myocardial infarction occurrence in the population of Bosnia and Herzegovina is lower in patients with blood group A compared to non-A blood types.

– Eurasian jays ( Garrulus glandarius ) do not habitually use tools, yet they can be trained to solve object-dropping tasks, i.e., to insert a tool into an apparatus to release a food reward. Previous research suggests that these jays can learn a preference toward functional tools – objects allowing them to obtain a food reward placed inside an apparatus – according to their density (Cheke et al., 2011). However, it is not yet known whether they can also select functional tools (tool selectivity) according to other physical properties such as size and shape and use different kinds of tools to solve a similar task. Here we conducted three object-dropping experiments aimed at exploring these abilities in Eurasian jays. In Experiment 1, jays tended to select large stones as tools irrespective of the diameter of the apparatus. However, jays progressively developed a preference for the small tool, which was functional with both the wide and the narrow apparatuses. In Experiment 2, only vertically oriented long stones could fit into the narrow apparatus, whereas both long and round stones were functional with the wide apparatus. Jays showed a preference for the long stone and, with the narrow apparatus, tended to achieve the correct manipulation after one or more unsuccessful attempts. In Experiment 3, jays were able to use sticks and adopt a novel technique on the same object-dropping apparatus, thus providing the first evidence that Eurasian jays can use sticks as tools. Taken together, these results do not support the notion that tool selectivity abilities can be found in Eurasian jays but nonetheless show that these corvids can use different kinds of tools to solve similar tasks.

Introduction: Ventilator associated pneumonia (VAP) is defined as nosocomial pneumonia in patients who have mechanical ventilation (MV) for more than 48 hours. The diagnosis of VAP is based on radiological-microbiological examinations. In the United States, the Centers for Disease Control and Prevention (CDC) and the National Health Care Network (NHSN) have an incidence of VAP of 5.8% per 1,000 days on mechanical ventilator. Aim: In this study, we had an aim to determine the occurrence of ventilator-associated pneumonia (VAP) in patients with MV who were hospitalized in the intensive care unit. Method: The study was retrospective, clinical, conducted in the period from January 1, 2016 until December 31, 2016. In a one-year period, 719 patients of both sex, aged 14 to 91, were hospitalized in the intensive care unit of the Clinic for Anesthesia and Resuscitation of the University Clinical Center in Sarajevo. The study included 250 patients of both sex who had respiratory support with mechanical ventilator. No patient was excluded from the study. As a confirmation of VAP, we used microbiological reports from the patient history documentation. The results were presented statistically through tables and graphs, numerically, by a percentage, and by a mean value with standard deviation. Results: Out of the 719 hospitalized patients, 250 or 34.8% underwent controlled ventilation. In 103 or 41.2% of patients some form of pneumonia was confirmed microbiologically. An average patient age on controlled ventilation was 60.4 ± 16.8 years. The mean age of a female patients who were on controlled ventilation was 63.2 ± 16.7, higher than that of male patients, which was 57.8 ± 16.6 years. The most frequent patients were over 60 years of age (52.8%). The shortest hospitalization of patients on controlled mechanical ventilation was 1 day and the longest was 120 days. Average duration of mechanical ventilation was 6.9 ± 10.5 days. Conclusion: VAP is a relatively common complication in patients with MV that can increase morbidity and mortality, as well as treatment costs. It is more frequent in females and in the elderly. Medical staff should provide normal maintenance of respiratory functions to a patient who is on MV, which will reduce the risk of VAP.

The aim of this study was to assess the psychometric properties of the Maslach Burnout Inventory—Educators Survey (MBI-ES). The presence of burnout syndrome, its relationship with personality traits, intention to change career and work abroad were assessed in a cross-sectional multi-center trial conducted among educators at three medical faculties in the Western Balkans during 2019. Translation and cultural adaptation were made based on internationally accepted principles. Personality traits were assessed by the Big Five Plus Two questionnaire. In total, 246 medical faculty members, predominantly females (61%), were enrolled. The three-factor structure of the MBI-ES questionnaire (exhaustion, cynicism, and professional efficacy) was validated. Analysis of internal consistency yielded a Cronbach’s alpha of 0.785, indicating scale reliability. The majority of respondents (85.6%) reported moderate level of burnout. Aggressiveness, neuroticism, and negative valence were associated with emotional exhaustion and depersonalization, while extraversion, conscientiousness, openness, and positive valence correlated with personal accomplishment. Emotional exhaustion and depersonalization in a multivariate regression model were significantly associated with intentions to change career and work abroad (p < 0.05). The present study provided evidence for the appropriate metric properties of the Serbian version of MBI-ES. Presence of burnout syndrome, which was identified as a common problem in medical academia, and directly linked to personality traits, affected intention to career change and work abroad.

An initial study of the effects vortex generators (VGs) have on the mitigation of vortex-induced vibrations (VIVs) of hydrofoils have been performed at the Waterpower laboratory of the Norwegian University of Science and Technology. The VGs are placed close to the trailing edge of a blunt hydrofoil. Reasonable design parameters of the VGs were found from the literature with regard to which would induce the strongest vortices with the lowest drag. Vibration frequencies of the hydrofoil were measured using flush mounted strain gauges located close to the trailing edge. This paper presents the design of the VGs and some initial results of the experiments performed with these devices. The preliminary results indicate a possible mitigation of VIVs. This could be because of the interference between the primary vortices generated by the hydrofoil and the longitudinal vortices generated by the VGs, but further work is necessary to make a conclusion.

SUMMARY: Success in artistic gymnastics certainly depends on the morphological characteristics of the athletes, some of which are basic body height and weight. The aim of this study is to determine whether there is a statistically significant difference in body height and weight between the male and female participants on the Olympic Games from 1996 to 2016. The following variables were chosen: body weight (kg), body height (cm). The results did show significant differences between women's artistic gymnastics in body weight and height over a 20-year period. In men's artistic gymnastics we didn't find the difference. This research is important in setting comparative parameters in the selection process and sport specialization regarding morphological characteristics according to different events of gymnasts at the elite level.