Establishing Digital Repositories at Western Balkan Universities

The paper presents part of the Tempus project “New Library Services at Western Balkan\ud Universities” (coordinated by the University library “Svetozar Markovic” in Belgrade from 2010\ud up to now), whose one of two main objectives is to establish digital repositories on the 6\ud universities of the Western Balkan (three countries: Serbia, Montenegro and Bosnia and\ud Herzegovina). The repositories are based on the same system – PHAIDRA, created, developed\ud and launched in 2006. by University library in Vienna, which is one of the partner in the Project.\ud PHAIDRA is system designed for long term archiving and managing of different types of digital\ud objects; legislation about copyright protection is included in the system and can be easily\ud applied. The repository of the University of Belgrade, with all necessary adjustments (language,\ud university structure, classification system, etc.), became the leading model for all other\ud repositories. Dissemination of information about repositories is started at the University library\ud for several groups of faculty librarians, who participated one day training about the functioning\ud of the system. Training of librarians is also the first step in connecting with teaching staff of those\ud faculties. The Rectorate of the University of Belgrade gave institutional support to this Project:\ud by signing the Berlin Declaration on Open Access to Knowledge in the Science and Humanities,\ud rector emphasized that PHAIDRA repository is established accordingly to this decision and\ud invited professors, researchers and others to publish their scientific work within this repository\ud and to make it visible worldwide

Establishing Digital Repositories at Western Balkan Universities: poster

Establishing repositories at Western Balkan universities is a part of Tempus project “New Library Services at Western Balkan Universities”, launched in 2010 and coordinated by University Library “Svetozar Markovic” in Belgrade. The main objectives of the Project are: modernization of library economy, more effcient library services, integration and institutional diffusion of academic library network on\ud six Western Balkan universities in Serbia, Montenegro and Bosnia and Herzegovina.\ud \ud Inforum 2012:\ud 18th Conference on Professional Information Resources\ud Prague, May 22-24, 2012\u

Combining Modern Pharmacology with Integrative Medicine: A Biopsychosocial Model for Comprehensive Pain Care

The medical community recognized last decennia the multidimensional nature of pain and proposed multimodal biopsychosocial management. The most compelling reason to embrace integrative pain strategies is to mitigate patient risk. For patients with chronic pain and pain refractory to conservative medicine, it is essential to assess all factors involved with the chronicity. With significant themes, nutrition and microbiome, neuroplasticity, homeostasis, and the side effects of medication, acupuncture has progressively gained a place in this multimodal evaluation. Therapeutic multimodality approaches the perspective of physiological rehabilitation and chronobiological improvement of the quality of life. Illustrated by various clinical situations, the objective of management is to seek a synergy in the mechanisms of action of treatments to improve quality of life and reduce the need for xenobiotics and, consequently, the side effects. The mechanism of action of integrative medicine, and acupuncture improved with a better understanding of genetics, and epigenetics. As opposed to sham and placebo, acupuncture activates other brain regions. In controlled trials, the strict inclusion and exclusion criteria result in the treatment of a “selected” patient population, which is not always comparable to the patients seen in daily practice. The integrative approach is better illustrated by case reports

The impact of resistance training program on the muscle strength and bone density in adolescent athletes

© 2018 Saša Bubanj et al., published by Sciendo 2018. Strength training and other modes of physical activity may be beneficial in osteoporosis prevention by maximizing bone mineral accrual in childhood and adolescence. This study focuses on the impact of the nine-month long program of resistant exercises with different level of external loads (low, middle and high) on the lower limbs explosive strength and bone tissue density in athletes adolescents aged 17 to 18 years. Sixty healthy, male athletes and non-athletes, divided into experimental (ES, sprinters, N = 45) and control sub-sample (CS, non-athletes, N = 15), were included in study. ES examinees (EG1, EG2 and EG3) were subjected to the program of resistance exercises with low level (60% of the One Repetition Maximum-1RM), middle level (70% 1RM), and high level (85% 1RM) of external loads, respectively. Bone Density values were determined by the use of a clinical sonometer.,Sahara (Hologic, Inc., MA 02154, USA). Explosive strength values of hip extensors and flexors, knee extensors and flexors, and ankle plantar and dorsiflexors were determined by the use of accelerometer.,Myotest (Sion, Switzerland) and the means of Counter Movement Jump without arms swing (CMJ) and half squat. ANOVA method for repeated measures and ANCOVA method were used to determine significant differences and resistance program effects on the lower limbs explosive strength and bone tissue density. Resistance exercise does impact the explosive strength and bone parameters in a way to increase half squat 1RM values, but decreases CMJ values, and increases speed of sound (SOS), broadband ultrasound attenuation (BUA) and bone mineral density (BMD) values in athletes-adolescents, aged 17-18 years

An mTORC1-Dependent Mouse Model for Cardiac Sarcoidosis.

Background Sarcoidosis is an inflammatory, granulomatous disease of unknown cause affecting multiple organs, including the heart. Untreated, unresolved granulomatous inflammation can lead to cardiac fibrosis, arrhythmias, and eventually heart failure. Here we characterize the cardiac phenotype of mice with chronic activation of mammalian target of rapamycin (mTOR) complex 1 signaling in myeloid cells known to cause spontaneous pulmonary sarcoid-like granulomas. Methods and Results The cardiac phenotype of mice with conditional deletion of the tuberous sclerosis 2 (TSC2) gene in CD11c+ cells (TSC2fl/flCD11c-Cre; termed TSC2KO) and controls (TSC2fl/fl) was determined by histological and immunological stains. Transthoracic echocardiography and invasive hemodynamic measurements were performed to assess myocardial function. TSC2KO animals were treated with either everolimus, an mTOR inhibitor, or Bay11-7082, a nuclear factor-kB inhibitor. Activation of mTOR signaling was evaluated on myocardial samples from sudden cardiac death victims with a postmortem diagnosis of cardiac sarcoidosis. Chronic activation of mTORC1 signaling in CD11c+ cells was sufficient to initiate progressive accumulation of granulomatous infiltrates in the heart, which was associated with increased fibrosis, impaired cardiac function, decreased plakoglobin expression, and abnormal connexin 43 distribution, a substrate for life-threatening arrhythmias. Mice treated with the mTOR inhibitor everolimus resolved granulomatous infiltrates, prevented fibrosis, and improved cardiac dysfunction. In line, activation of mTOR signaling in CD68+ macrophages was detected in the hearts of sudden cardiac death victims who suffered from cardiac sarcoidosis. Conclusions To our best knowledge this is the first animal model of cardiac sarcoidosis that recapitulates major pathological hallmarks of human disease. mTOR inhibition may be a therapeutic option for patients with cardiac sarcoidosis

A comparison of body composition assessment methods in climbers: Which is better?

Objective To compare body composition estimations of field estimation methods: Durnin & Womersley anthropometry (DW-ANT), bioelectrical impedance analysis (BIA) and Deborah-Kerr anthropometry (DK-ANT) against dual-energy X-ray absorptiometry (DXA) in a male Chilean sport climbing sample. Methods 30 adult male climbers of different performance levels participated in the study. A DXA scan (Lunar Prodigy (R)) was used to determine fat mass, lean mass and total bone mineral content (BMC). Total muscle mass (MM, kg) was estimated through a validated prediction model. DW-ANT and BIA ("non-athletes" and "athletes" equations) were used to determinate fat mass percentage (FM %), while DK-ANT was utilized to estimate MM and BMC. Results A significant (p<0.01) inter-method difference was observed for all methods analyzed. When compared to DXA, DW-ANT and BIA underestimated FM% and DK-ANT overestimated MM and BMC (All p< 0.01). The inter-method differences was lower for DW-ANT. Discussion We found that body composition estimation in climbers is highly method dependent. If DXA is not available, DW-ANT for FM% has a lower bias of estimation than BIA in young male Chilean climbers. For MM and BMC, further studies are needed to compare and estimate the DK-ANT bias level. For both methods, correction equations for specific climbing population should be considered

Cardiac damage after treatment of childhood cancer: A long-term follow-up

<p>Abstract</p> <p>Background</p> <p>With improved childhood cancer cure rate, long term sequelae are becoming an important factor of quality of life. Signs of cardiovascular disease are frequently found in long term survivors of cancer. Cardiac damage may be related to irradiation and chemotherapy.</p> <p>We have evaluated simultaneous influence of a series of independent variables on the late cardiac damage in childhood cancer survivors in Slovenia and identified groups at the highest risk.</p> <p>Methods</p> <p>211 long-term survivors of different childhood cancers, at least five years after treatment were included in the study. The evaluation included history, physical examination, electrocardiograpy, exercise testing and echocardiograpy. For analysis of risk factors, beside univariate analysis, multivariate classification tree analysis statistical method was used.</p> <p>Results and Conclusion</p> <p>Patients treated latest, from 1989–98 are at highest risk for any injury to the heart (73%). Among those treated earlier are at the highest risk those with Hodgkin's disease treated with irradiation above 30 Gy and those treated for sarcoma. Among specific forms of injury, patients treated with radiation to the heart area are at highest risk of injury to the valves. Patients treated with large doses of anthracyclines or concomitantly with anthracyclines and alkylating agents are at highest risk of systolic function defect and enlarged heart chambers. Those treated with anthracyclines are at highest risk of diastolic function defect. The time period of the patient's treatment is emerged as an important risk factor for injury of the heart.</p

Reappraisal of prognostic factors used in the European Pediatric Soft Tissue Sarcoma Study Group RMS 2005 study for localized rhabdomyosarcoma to optimize risk stratification and generate a prognostic nomogram

Background: The objective of this study was to investigate the role of clinical factors together with FOXO1 fusion status in patients with nonmetastatic rhabdomyosarcoma (RMS) to develop a predictive model for event-free survival and provide a rationale for risk stratification in future trials. Methods: The authors used data from patients enrolled in the European Pediatric Soft Tissue Sarcoma Study Group (EpSSG) RMS 2005 study (EpSSG RMS 2005; EudraCT number 2005-000217-35). The following baseline variables were considered for the multivariable model: age at diagnosis, sex, histology, primary tumor site, Intergroup Rhabdomyosarcoma Studies group, tumor size, nodal status, and FOXO1 fusion status. Main effects and significant second-order interactions of candidate predictors were included in a multiple Cox proportional hazards regression model. A nomogram was generated for predicting 5-year event-free survival (EFS) probabilities. Results: The EFS and overall survival rates at 5 years were 70.9% (95% confidence interval, 68.6%–73.1%) and 81.0% (95% confidence interval, 78.9%–82.8%), respectively. The multivariable model retained five prognostic factors, including age at diagnosis interacting with tumor size, tumor primary site, Intergroup Rhabdomyosarcoma Studies clinical group, and FOXO1 fusion status. Based on each patient's total score in the nomogram, patients were stratified into four groups. The 5-year EFS rates were 94.1%, 78.4%, 65.2%, and 52.1% in the low-risk, intermediate-risk, high-risk, and very-high-risk groups, respectively, and the corresponding 5-year overall survival rates were 97.2%, 91.5%, 74.3%, and 60.8%, respectively. Conclusions: The results presented here provide the rationale to modify the EpSSG stratification, with the most significant change represented by the replacement of histology with fusion status. This classification was adopted in the new international trial launched by the EpSSG