Relentless placoid chorioretinitis - A case report

© 2016, Serbia Medical Society. All rights reserved. Introduction Relentless placoid chorioretinitis is an entity which belongs to the group of an atypical intermediate form of primary inflammatory choriocapillaropathies, resembling both acute posterior multifocal placoid pigment epitheliopathy and serpiginous choroiditis, but the retinal distribution and clinical course are not the same. Because of this similarity this entity was termed AMPPiginous. This entity was first described by Jones et al. in 2000. The aim of our case report is to present a very specific case where the clinical course was progressive, with loss of vision in the affected eye. Case Outline A 31-year-old man, with no previous ophthalmic diseases, was hospitalized at the Clinic of Ophthalmology, Clinical Center Kragujevac, because of a reduction of vision in the right eye, and scotoma and metamorphopsia in the left eye. The clinical course of retinal lesions in the left eye resembled the changes observed in acute posterior multifocal placoid pigment epitheliopathy, and the right eye changes were between acute posterior multifocal placoid pigment epitheliopathy and serpiginous choroiditis. The diagnosis of relentless placoid chorioretinitis was confirmed after clinical, laboratory, immunological, virological, and angiography examinations. Conclusion The progressive clinical course of the disease, complemented by multimodal imaging and extensive laboratory diagnostics, has led us to the diagnosis of relentless placoid chorioretinitis. The combined anti-inflammatory and immunomodulatory therapy led to the stabilization of visual acuity of the left eye as opposed to the right, where there has been no recovery

The impact of silicone hydrogel contact lenses on the measurement of intraocular pressure using non-contact tonometry

© 2017, Institut za Vojnomedicinske Naucne Informacije/Documentaciju. All rights reserved. Background/Aim. Measurement of intraocular pressure (IOP) over therapeutic silicone hydrogel soft contact lenses by a non-contact method of tonometry could be applied in opthalmologic practice but the results obtained are still controversial. The aim of this study was to evaluate the effect of spherically designed silicone hydrogel soft contact lenses and their power on values of IOP measured by using a non-contact tonometry method. Methods. We measured IOP with and without spherical silicone hydrogel soft contact lenses on 143 eyes of 80 subjects who did not have any ocular or systemic diseases. Results. The Wilcoxon statistical analysis test for ranking average values of IOP measured on 143 eyes over a spherical silicone hydrogel soft contact lenses showed significantly higher values compared to those measured with no contact lenses (15.81 ± 3.46 mm Hg vs 14.54 ± 3.19 mm Hg; respectively; Z = -5.224, p = 0.001). Refractive power analysis of the contact lenses of -9.00D to +6.00 D showed a significant difference of IOP in the range from 0.00D to -6.00D. Conclusion. Non-contact tonometry is not an accurate method of IOP measuring over spherical silicone hydrogel soft contact lenses which belong to therapeutic contact lenses

Two cases of uveitis masquerade syndrome caused by bilateral intraocular large B-cell lymphoma

Introduction. Sometimes it is not easy to clinically recognize subtle differences between intraocular lymphoma and non-infectious uveitis. The most common lymphoma subtype involving the eye is B-cell lymphoma. Case report. We presented two patients aged 59 and 58 years with infiltration of the subretinal space with a large B-cell non-Hodgkin intraocular lymphoma. The patients originally had clinically masked syndrome in the form of intermediate uveitis. As it was a corticosteroid-resistant uveitis, we focused on the possible diagnosis of neoplastic causes of this syndrome. During hospitalization, the neurological symptoms emerged and multiple subretinal changes accompanied by yellowish white patches of retinal pigment epithelium with signs of vitritis, which made us suspect the intraocular lymphoma. Endocra-nial magnetic resonance imaging established tumorous infiltration in the region of the left hemisphere of the cerebellum. The histopathological finding confirmed the diagnosis of large B-cell non-Hodgkin lymphoma of risk moderate degree, immunoblast - centroblast cytological type. The other patient had clinical chronic uveitis accompanied by yellowish shaped white echographic changes of the retina and localized changes in the level of the subretina. The diagnosis of lymphoma was made by brain biopsy. Conclusion. Uveitis masquerade syndrome should be considered in all patients over 40 years with idiopathic steroid-resistant uveitis. Treatment begun on time can affect the course and improve the prognosis of uveitis masquerade syndrome (UMS) and systemic disease

The influence of material types on twist angles and torsion stability of a composite shaft

Prednost primjene kompozitnih materijala, u odnosu na konvencionalne materijale, ogleda se u mogućnosti širokog variranja praktično svih svojstava materijala od kojih su sastavljeni, što se postiže putem izbora sastavnih komponenata, njihove količine, rasporeda i orijentacije u okviru materijala, a s ciljem da se iskoriste njihova najbolja svojstva. U nekim slučajevima najbolji rezultati mogu biti postignuti uporabom kombinacije kompozita i tradicionalnih metalnih materijala. U radu su analizirana vratila dobivena kombinacijom aluminija s različitim kompozitnim materijalima – karbonska vlakna/epoksi smola, staklena vlakna/epoksi smola, aramidna vlakna/epoksi smola. Razmatran je njihov utjecaj na vrijednosti kutova uvijanja i kritične vrijednosti momenta uvijanja koje dovode do gubitka stabilnosti vratila. Provedena je i eksperimentalna analiza vratila koje je pokazalo najbolja svojstva (karbonska vlakna/epoksi smola).The advantages of composite materials over the conventional ones include the ability to vary their properties in order to ensure the best combination for each application. This is achieved through selection of their constituent materials, quantities, distribution and fibre orientation angle. In some cases, the best results can be achieved by using a combination of composite and traditional metal materials. This paper analyses shafts made from a combination of aluminium and different composite materials – carbon fibre/epoxy, glass fibre/epoxy, and aramid fibre/epoxy. The influence of these materials on twist angle values and critical torques that impair the shaft stability has also been discussed. Finally, an experimental analysis of the shaft that exhibited the best properties (carbon fibres/epoxy) has been performed

Project Managers’ Emotional Intelligence – A Ticket to Success

AbstractThe purpose of this paper is to introduce recent research on correlation between project managers’ emotional intelligence and their professional success. The implications of this research are important to both project managers who wish to improve their performance and success rate and organizations in their human resource policy. Theoreti- cal considerations discussed potential impact of emotional intelligence on project managers’ success through review on concept and dimensions of emotional intelligence, findings of numbered empirical studies and leadership theories. Complementing these theoretical considerations with research study showed significant correlation between project managers’ emotional intelligence and professional success. Research was conducted on representative sample consi- sted of 75 project managers from top 10 Serbian companies. Data collection instrument was questionnaire consisted of self-descriptive emotional intelligence test and data on respondent's position in organizational hierarchy and edu- cational level. The empirical research reveals that there is a very high positive correlation between emotional intelli- gence and professional success and these findings should have a number of implications for project managers’ pra- ctice. Firstly, project managers should be aware of the concept, their level and way of improving different dimensions of emotional intelligence. Further, the human resource management departments of project oriented organizations should consider concept of emotional intelligence when recruiting staff to the position of project managers but also when deciding on human resources development programs. In order to help good project managers to become excel- lent there is a need for further investigations on methods for development of emotional intelligence competencies

Dysplasia epiphysealis hemimelica: A case report

© 2014, Institut za Vojnomedicinske Naucne Informacije/Documentaciju. All rights reserved. Introduction. Dysplasia epiphysealis hemimelica, also known as Trevor’s disease, is an extremely rare skeletal developmental disorder of unknown etiology, characterized by an osteocarti-laginous outgrowth of one or more epiphyses or of a tarsal bone during childhood. Case report. We presented a sporadic case of dysplasia epiphysealis hemimelica developed in the talus. A 6-year-old boy complained of swelling of his right ankle joint, with painful and reduced movements. Radiographies suggested excessive overgrowth of the dorsomedial aspect of the talus. The tumor was surgically excised and the gross and histological findings were consistent with those of osteochondroma. Conclusion. Dysplasia epiphysealis hemimelica is diagnosed by clinical, radiographic and histopathological examination. Early diagnosis is important for the condition to be treated before the deformity becomes disabling

YIELD AND QUALITY OF MÜLLER-THURGAU CLONE GM11 OF NIS GRAPE GROWING REGION

This paper presents the results of research variety Müller-Thurgau, clone 11 Gm, in order to determine quality indicators and the possibility of expansion in the vineyards of Southern Serbia. In terms of Nis grape growing region of the test are the most important agro technological and economic characteristics of the clone 11 Gm compared to the standard variety Müller-Thurgau. The test clone exhibited significant differences in yield and quality of grapes

Efficacy of a skin care cream with TRPV1 inhibitor 4‐t‐butylcyclohexanol in the topical therapy of perioral dermatitis

Background Perioral dermatitis is a clinically distinctive reaction pattern of facial dermatitis, including redness, dryness, burning, pruritus and skin tightness. A gold standard treatment remains unclear. Objectives Our study evaluates the clinical value of a skin care cream with the transient receptor potential vanilloid type 1 inhibitor 4‐t‐butylcyclohexanol in POD patients over 8 weeks. Methods This open, unblinded 8‐week clinical trial included 48 patients. A skin care cream containing 4‐t‐butylcyclohexanol was applied over a period of 8 weeks. Standardized questionnaires were used at baseline, 4 and 8 weeks, for history documentation, objective and subjective severity scores, and quality of life assessments. Six different skin physiology parameters were assessed at all timepoints. Results The perioral dermatitis severity score decreased significantly during the treatment period. This was mirrored by significantly lower patients’ subjective numerical rating score and an improved quality of life score. Transepidermal water loss, stratum corneum hydration and skin erythema improved significantly during the treatment period. Conclusion This transient receptor potential vanilloid type 1 inhibitor‐based skin care cream improved subjective and objective parameters of perioral dermatitis. Decreased transepidermal water loss values and increased stratum corneum hydration demonstrate a restored skin barrier function. Consequently, the topical inhibition of these receptors is a promising management option for POD