Challenges in treatment of postinfarction ventricular septal defect and heart failure

Introduction. Acquired ventricular septal defect (VSD) is uncommon, but serious mechanical complication of acute myocardial infarction with poor outcome and high mortality rate in surgically or medically treated patients. Case report. We report a 58-year-old male patient admitted to our hospital six days following acute inferior myocardial infarction complicated by ventricular septal rupture with signs of heart failure. Coronary angiography revealed 3-vessel disease, with proximally occluded dominant right coronary artery. Transthoracic echo exam revealed aneurysm of a very thin inferior septum and the basal portion of the inferior left ventricular wall, with septal wall rupture. One of the VSD dimensions was 15 mm and left- to right shunt was calculated 2 : 1. Since the patient was at too high risk for surgical closure, transcatheter closure of VSD was chosen as a better option. Under short intravenous sedation, 24 mm Amplatzer device was implanted percutaneously with transesophageal echo guidance. The post-procedural result revealed a small residual shunt, but it was followed by significant improvement of the patient's clinical status. A 24h Holter ECG monitoring did not show cardiac rhythm or conduction disturbances. Coronary angiography was repeated ten days following the procedure, after hemodynamic stabilization of the patient, with direct stenting of the circumflex artery and the intermediate artery. Ostial left descending artery lesion was left for further functional significance assessment. Conclusion: Percutaneous closure with a septal occluder device can be definitive primary treatment for anatomically suitable patients or it can serve as a bridge to surgical treatment

Proceedings of the 12th International Conference on Kinanthropology

Proceedings of the 12th Conference of Sport and Quality of Life 2019 gatheres submissions of participants of the conference. Every submission is the result of positive evaluation by reviewers from the corresponding field. Conference is divided into sections – Analysis of human movement; Sport training, nutrition and regeneration; Sport and social sciences; Active ageing and sarcopenia; Strength and conditioning training; section for PhD students

Pre-Planned and Non-Planned Agility in Patients Ongoing Rehabilitation after Knee Surgery: Design, Reliability and Validity of the Newly Developed Testing Protocols

Background: Due to its association with the risk of falling and consequent injury, the importance of agility is widely recognized, but no study so far has examined the different facets of agility in an untrained/clinical population. The aim of this study was to evaluate the reliability, validity, and correlates of newly developed tests of non-planned agility (NPA) and pre-planned agility (PPA) in an untrained/clinical sample. Methods: The sample comprised 38 participants older than 40 years (22 females, age: 56.1 ± 17.3 years, height: 170.4 ± 10.8 cm, mass: 82.54 ± 14.79 kg) who were involved in a rehabilitation program following total knee arthroplasty and knee arthroscopy. Variables included age, gender, type of surgery, history of fall, anthropometrics/body composition, and newly developed tests of NPA and PPA. Results: The results showed the high inter-testing- (ICC > 0.95, CV 0.96, CV 50 yrs. vs. r = 0.58 and 0.59, p r = 0.64 and 0.66, p r = 0.70 and 0.68, p r = 0.98, p < 0.001). Conclusions: We found that the proposed tests are reliable when evaluating agility characteristics in an untrained/clinical population after knee arthroplasty/arthroscopy. Further evaluation of the specific validity of the proposed tests in other specific subsamples is warranted

Kompetitivne sposobnosti soje i prosa u različitim kombinacijama združenih useva

Intercropping includes cultivating of two or more crop species simultaneously on the same filed. Benefits of intercropping can be achieved only if complementary crops are combined, which results in a higher and more stable yield in regard to sole crops. The competition of proso millet (M) and soybean (S) in different intercrop combinations (S-M, SS-MM, SS-MMMM), simultaneously testing influence of bio-fertilizer on them, was studied. In regard to competitive ratio and agressivity, all combinations showed soybean as dominant and millet as dominated specie. Since SS-MM combination has significantly separated from other two, with high values of competitive ratio and agressivity for soybean and low for millet, it can be concluded that ratio and planting pattern had significant influence on obtained results. Bio-fertilizer didn’t express greater impact comparing with intercropping, which influence was much more pronounced. Soybean showed its highest competitive ability in SS-MM treated with Coveron (3.36), while average aggressivity for this combination was 0.95. In contrast to soybean, in this combination millet showed its lowest values. Anyhow, deeper studies are desirable to find out the most productive combination for forage biomass production.Združivanje useva obuhvata gajenje dve ili više vrste biljaka istovremeno na istom prostoru. Prednosti združivanja mogu se ispoljiti samo u slučajevima kada se kombinuju komplementarni usevi, što rezultira višim i stabilnijim prinosom u odnosu na samostalne useve. U ovom istraživanju ispitivana je kompeticija prosa (M) i soje (S) u različitim kombinacijama združenih useva (S-M, SS-MM, SSMMMM), istovremeno prateći i uticaj bio-đubriva na njih. Što se tiče konkuretnog odnosa i agresivnosti, u svim kombinacijama soja je pokazala svoju dominatnost dok je proso bio izdominirana vrsta. S obzirom da se SS-MM kombinacija značajno izdvojila od ostale dve, sa visokim vrednostima konkuretnog odnosa i agresivnosti za soju i niskim za proso, može se zaključiti da su odnos biljaka i njihov prostorni raspored uticali na dobijene rezultate. Bio-đubrivo nije imalo velikog efekta u odnosu na samo združivanje, čiji se uticaj posebno istakao. Soja je pokazala svoju najveću kompetitivnu sposobnost u SS-MM kombinaciji tretiranoj Coveron-om (3.36), dok je prosečna agresivnost za ovu kombinaciju iznosila 0.95. Suprotno od soje, proso je iskazao svoje najniže vrednosti u navedenoj kombinaciji. U svakom slučaju, detaljnije studije su potrebne kako bi se pronašla najproduktivnija kombinacija za proizvodnju biomase