SURGICAL TREATMENT OF HALLUX LIMITUS/RIGIDUS IN YOUNG FEMALE ATHLETE

Hallux limitus/ rigidus određuje ograničenje dorzalne fleksije metatarzofalangealnog zgloba palca usljed stvaranja osteofita uokolo dorzalnog ruba glave prve metatarzalne kosti. Navode se mnogi uzroci nastanka uključujući i traumu. Liječenje je konzervativno ili kirurško, a primjenjuje se više vrsta kirurškog liječenja. Autori prikazuju sportašicu s hallux limitusom (drugi stupanj bolesti) operiranu u njezinoj 19. godini života s postoperativnim praćenjem od 10 godina. Bolesnica je operirana metodom po Lucijaniću izvorno opisanom za kirurško liječenje hallux valgusa.Uosnovi primjenjenog kirurškog postupka je 3D distalna osteotomija prve metatarzalne kosti, njeno skraćivanje i plantarizacija glave te osteosinteza kompresivnim vijkom. Opisana je klinička i radiološka slika te nalaz podobarografije prije i nakon operacije. Dorzalna fleksija u prvom metatarzofalangealnom zglobu je prije operacije iznosila 20°. Deset godina nakon operacije pacijentica se bavi rekreacijskim trčanjem i uglavnom je bez bola i s dobrim opsegom kretnji u prvom metatarzofalangealnom zglobu, tj. dorzalna fleksija u zglobu iznosi 55 stupnjeva.Hallux limitus/rigidus is defined as the limitation of dorsiflection in the first metatarsophalangeal joint of the big toe due to the formation of osteophytes around the dorsal aspect of the articular margin of the head of the first metatarsal. Many ethiologies have been proposed including trauma. More types of the conservative and surgical treatment are practised. The autors report a case of the 19 years female sportist with hallux limitus (grade -2 disease) proceeded to open surgery with postoperative follow-up of ten years. The surgical procedure had been described before by Lucijanić originaly for treatment of hallux valgus. In the base of applied procedure is 3D distal osteotomy of the first metatarsal, shortening and plantar displacement of the metatarsal head and osteosynthesis using a compression screw. The clinical, radiological and pedobarography feature before and after surgery is described.The preoperative first metatarsophalangeal joint dorsiflexion was 20°. Ten years after surgery the patient is mainly pain-free and with good range of motion of the first metatarsophalangeal joint and dorsiflexion is 55 degrees. She is capable for recreational long running

Light permanence wrap prints produced with CMYK UV inkjet inks

Nowadays, Inkjet technology has become one of the most widespread printing technologies in car industry (car wrapping = printing and wrapping the whole vehicle or a part of a vehicle in printed foil). Printed wrap foils are, after the wrapping process, exposed to the same conditions as a lacquered vehicle: intensive sunlight, high and low temperatures, rainfall, snow, ice, particles or bugs that the vehicle encounters while driving, etc. In this paper we tested different types of wrapping foils (Orajet, 3M Scotchcal and 3M Controltac) and solvent inkjet inks to investigate the influence of different types of wrap foils on the real reproduction of UV ink jet coloured imprints, as well as their stability fluctuations during ageing. The inkjet prints age faster under the influence of UV light (Xenon lamp in SolarBox) in a period of 240 hours. The results show that the 3M Scotchcal foil has the best CMYK stability

Terapijska učinkovitost klindamicin gela kao dodatak bazičnoj terapiji kronične parodontopatije

Clindamycin, a lincosamide antibiotic, has been under-recognized as an antimicrobial agent for use in dentistry. The aim of the present work was to evaluate clinical efficacy of 2% clindamycin gel in addition to the basic mechanical periodontal therapy. At baseline, scaling and root planing (SRP) was performed at all 50 subjects (control group and test group). Clindamycin gel was applied after SRP only in the test group. Clinical measurements including periodontal pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BOP) and plaque index (PI) were done at baseline, and at 3 and 6 months after treatment. Compared to baseline, the PPD and CAL values significantly decreased in the test group (p<0.05) and were statistically lower (p<0.05) compared to control group. PPD reduction of 2.42 mm was obtained in the test group and could be generally considered as clinically significant. A PPD reduction greater than 2 mm indicated that clindamycin gel could be used efficiently as an adjunct to SRP. Also, between-group difference in BOP and PI scores was statistically significant 6 months after treatment. In conclusion, the application of clindamycin gel in combination with SRP enhanced the efficacy of non surgical periodontal therapy in reducing pocket depth and improving attachment levels in chronic periodontitis subjects and had additional benefits over mechanical therapy alone.Klindamicin, linkozamidni antibiotik, je u širokoj upotrebi u stomatologiji. Cilj ovoga rada je bio procijeniti kliničku učinkovitost 2% klindamicin gela kao dodatne terapije bazičnoj terapiji kronične parodontopatije. Bazična terapija provedena je u svih 50 pacijenata (kontrolna skupina i ispitna skupina). Klindamicin gel je primijenjen nakon bazične terapije parodontopatije samo u ispitnoj skupini. Praćeni su sljedeći klinički parametri: dubina parodontalnog džepa (DPDZ), razina pripojnog epitela (NPE), indeks krvarenja (Ikr), plak indeks (PI). Mjerenje indeksa provedeno je prilikom prve terapije te tri i šest mjeseci nakon tretmana. DPDZ i NPE vrijednosti su bile značajno smanjene u ispitnoj skupini (p<0,05) i bile su statističke niže u odnosu na kontrolnu skupinu (p<0,05). Smanjenje dubine parodontalnog džepa za 2,42 mm zabilježeno je u ispitnoj skupini i može se smatrati klinički značajnim. Ovo smanjenje pokazuje da klindamicin gel ima terapijski učinak kao dodatak bazičnoj terapiji u liječenju kronične parodontopatije. Također je evidentirana statistička razlika između skupina u Ikr i PI šest mjeseci nakon terapije. Zaključuje se da primjena klindamicin gela u kombinaciji s bazičnom terapijom parodontopatije povećava učinkovitost nekirurške terapije

Usporedna analiza utjecaja klimatskih čimbenika na radijalni rast autohtonih vrsta borova (Pinus spp.) u središnjoj Bosni i Hercegovini

In central Bosnia and Herzegovina, in the Zavidovići-Teslić area, the study of the radial growth of Austrian and Scots pine (autochthonous pine species) trees was conducted using the dendrochronological method in order to identify the differences between the species in terms of the influence of climatic variables on the tree ring formation. Trees were sampled in five experimental areas or five sites. The first site had a Scots pine stand, while the second had an Austrian pine stand, and the other three sites had mixed stands of Scots and Austrian pine. Cross-dating was conducted using visual on-screen techniques of CDendro software and statistical methods using Cofecha software. The tree ring series were standardized using the Arstan program and cubic smoothing spline. It produced Scots pine regional chronology, 145 years long (1870-2014), and Austrian pine regional chronology, 180 years long (1835-2014). Correlation analysis of the relationship between the index of tree-ring width and precipitation and temperature in the characteristic periods of the year showed a negative effect of temperature (except in winter months) and a positive effect of precipitation on the tree ring formation. The statistically significant dependence of the tree-ring width index on the SPEI indices indicates a significant impact of moisture deficiency on the tree ring formation in the period from June to August (r = 0.33 in June, r = 0.45 in July and r = 0.47 in August) for Scots pine and in the period from June to September (r = 0.36 in June, r = 0.43 in July, r = 0.47 in August and r = 0.30 in September) for Austrian pine. The analysis of the relationship between climatic parameters and the chronologies of Scots and Austrian pine shows similar relationships between radial growth and climate but the influence of climate is somewhat more pronounced in Austrian pine. In the study area, the radial growth of both tree species is significantly determined by climate conditions. In other words, the chronology of these species has a good climatic signal, especially the drought signal in the summer months.U Zavidovićko - Teslićkom području, u središnjoj Bosni i Hercegovini, dendrokronološkom metodom je proučavan radijalni rast stabala crnog i bijelog bora, autohtonih vrsta u pomatranom području. Cilj je bio identifikacija razlika između spomenutih vrsta glede utjecaja klimatskih čimbenika. Uzorci su uzeti iz stabala s pet lokaliteta. Na prvom lokalitetu je sastojina bijelog bora, na drugom crnog bora, a na ostala tri lokaliteta su mješovite sastojine. Standardizacija serija širina godova (radijalnih prirasta) obavljena je primjenom Arstan programa. Dobivena je regionalna kronologija bijeloga bora dužine 145 godina (od 1870. do 2014.) i regionalna kronologija crnoga bora dužine 180 godina (od 1835. do 2014.). Ispitivanje zavisnosti između indeksa širine goda i oborina odnosno temperature u pojedinim karakterističnim periodima godine, pokazalo je negativan utjecaj temperature (osim u zimskim mjesecima) na formiranje goda i pozitivan utjecaj oborina. Statistički značajna zavisnost indeksa širine goda od SPEI indeksa ukazuje na značajan utjecaj nedostatka vlage u periodu lipanj – kolovoz (r = 0,33 u lipnju, r = 0,45 u srpnju i r = 0,47 u kolovozu) za bijeli bor i periodu lipanj - rujan (r = 0,36 u lipnju, r = 0,43 u srpanju, r = 0,47 u kolovozu i r = 0,30 u rujnu) za crni bor na formiranje godova. Analiza odnosa klimatskih parametara i formiranih kronologija bijeloga i crnoga bora pokazuje slične odnose između širine goda i klime, ali je utjecaj klimatskih čimbenika nešto više izražen kod crnog bora, kojemu više odgovaraju uvjeti staništa na promatranom području. U promatranom području radijalni prirast stabala obje vrste drveća značajno je uvjetovan klimatskim čimbenicima, odnosno kronologije navedenih vrsta imaju dobar klimatski signal, a posebno signal suše u ljetnim mjesecima

Sezamoiditis - radiološka dijagnostika i konzervativno liječenje

Sesamoid bones play an essential role in first metatarsophalangeal (MTP) joint biomechanics, together with other articular surfaces, joint capsule, plantar fascia, ligaments and tendons. They are prone to different acute and chronic injuries, such as acute fracture, stress fractures, chondromalacia, avascular necrosis, bursitis degenerative changes, inflammation etc., all of which clinically manifest as a painful condition and are often diagnosed under a broad term called sesamoiditis. The mechanism of injury is most commonly associated with overuse of the anterior part of the sole of the foot accompanied by excessive dorsiflexion of the great toe. Sesamoiditis presents with pain and localized swelling in the projection of the tibial sesamoid bone, which is affected more frequently than the fibular one. Diagnostic radiology plays a key role in determination of etiology of the disease, as well as in planning of it’s treatment. Typical radiological examination includes weight-bearing dorsoplantar, lateral, oblique medial and oblique lateral radiographs of the foot, together with a direct axial radiograph of sesamoid bones. Computerized tomography is used for distinction of acute fractures and early stage of stress fractures from other pathological conditions. Magnetic resonance imaging allows differentiation between bony pathology and soft tissue conditions. Sesamoiditis management is primarily conservative and it depends on duration and severity of the condition. Orthotic insoles customized according to pedobarographic findings may be useful for solving biomechanical deformities that could have led to development of sesamoiditis. Specific pads placed under the first MTP joint in order to prevent the great toe from dorsiflexion proved to be a very effective conservative treatment option. Surgical treatment is considered if conservative methods fail to provide sufficient management of the condition.Sezamske kosti u području metatarzofalangealnog zgloba nožnog palca (hallux) dio su anatomsko-biomehaničkog kompleksa kojeg čine zglobna tijela, čahura, plantarna fascija, sveze i tetive mišića. U sklopu navedenog komplek- sa sezamske kosti podložne su raznim akutnim i kroničnim oštećenjima u smislu prijeloma, stres prijeloma, hon- dromalacije, avaskularne nekroze, burzitisa, degenerativnih promjena, upala itd., a što se sve klinički očituje kao bolno stanje i sve se podvodi pod široki pojam sesamoiditisa. Mehanizam koji dovodi do sesamoiditisa najčešće je vezan uz prenaprezanje prednjeg dijela stopala praćenog ekscesivnom dorzifleksijom nožnog palca. U kliničkoj sli- ci sesamoiditisa najčešći simptom je bol i lokalizirana oteklina i to u području tibijalne sezamske kosti koja je dale- ko češće zahvaćena u odnosu na fibularnu sezamsku kost. Radiološka dijagnostika je značajna kako u otkrivanju etiologije tako i u planiranju liječenja sesamoiditisa. Standardna radiološka pretraga obuhvaća antero-posteriornu snimku pod opterećenjem stopala, lateralnu snimku, kose snimke te aksijalnu snimku sezamskih kostiju. Komp- juterizirana tomografija pokazala se korisnom za razlikovanje akutnog prijeloma i ranog stadija stres prijeloma sezamske kosti od drugih patologija koje mogu zahvatiti sezamske kosti. MRI omogućuje diferencijaciju između koštanih promjena i promjena na mekom tkivu. Liječenje sezamoiditisa je prvenstveno konzervativno i uvelike ovisno o uznapredovalosti promjena u području cijelog metatarzofalangealnog kompleksa. Ortopedski ulošci nakon pedobarografske analize opterećenja stopala mogu otkloniti biomehaničke deformacije koje su potencijalno pridonijele razvoju sesamoiditisa. Posebni podlošci ispod metatarzofalangealnog zgloba palca u smislu sprečavanja dorzifleksije palca su vrlo korisni i efikasni u konzervativnom liječenju sesamoiditisa. Kirurško liječenje može biti preporučeno nakon neuspjelog konzervativnog liječenja

Position of Intragastric Balloons in Global Initiative for Obesity Treatment

Obesity is chronic disease with multiple health consequences and among the most severe health problems worldwide. According to public health records around 65% of population in Croatia are overweight and 20% obese. National physicians chamber with support of Health and Social Welfare Ministry gave recommendations on diagnosing and treating of obesity in form of national consensus. Treatment of obesity is complex and enrolls multiple clinical specialties. Change of life style, strenuous physical activity and pharmacotherapy are part of conservative treatments. Patients are treated more efficiently by minimally invasive endoscopic procedures or bariatric surgery depending on starting body mass index score. Implantation of intragastric balloons is conceptually simple method of obesity treatment. Modern devices as Bio- Enterics intragastric balloons (BIB®), (Inamed Health, USA) are gaining wide popularity among both patients and physicians. BIB intragastric offers the best gains with individuals ranging BMI from 35 to 40. Efficiency has relative timeline dependance from 85% at 6 months to 24% at 36 months. BIB offers substantial ameliorative influence on obesity comorbidities, particularly cardiovascular risk. Treatment with BIB is also efficient but transient treatment modality in morbidly and superobese individuals to reduce preoperative risks of general and bariatric surgery. Obesity treatment with BIB is well tolerated and safe, offering better quality of life. Nevertheless, due to relative poor results of conservative obesity treatments on long term follow up further investigations defining new clinical parameters for solving treatment resistance. In order to provide resourcefully individualized approach modern perspectives are focused on endocrine constitutes of obesity. Hormonal effects of BIB treatment in compare to bariatric surgery are potentially interesting for the prospect studies

The analysis of 2,3-dicarboxypropane-1,1-diphosphonic acid-coated magnetite nanoparticles under an external magnetic field and their radiolabeling for possible theranostic applications

The advances in nanotechnology are directed towards the development of new theranostic agents based on magnetic nanoparticles that can be used for both cancer detection and treatment. In this study, 2,3-dicarboxypropane-1,1-diphosphonic acid-coated magnetite nanoparticles (Fe 3 O 4 -DPD MNPs) were evaluated for their theranostic application using different methods. The magnetic hyperthermia efficiency of the Fe 3 O 4 -DPD MNPs was investigated in saline solution with ionic strengths between 0.05 and 1.0 mol dm −3 . For a better understanding of hyperthermia, the behavior of Fe 3 O 4 -DPD MNPs under a non-alternating magnetic field was studied, and the transparency of the sample was measured. Furthermore, the radiotracer method using the radionuclides 99m Tc and 90 Y was applied as a reliable and powerful method for evaluating the in vivo behavior of a nanoprobe; a high radiolabeling yield (&gt;93%), in vitro and in vivo stability of the radiolabeled nanoparticles and high heating effect were observed, thus paving the way for the possible theranostic applications of Fe 3 O 4 -DPD MNPs.This is the peer-reviewed version of the following article:Perić, M.; Radović, M.; Mirković, M. D.; Nikolić, A. S.; Iskrenović, P.; Janković, D.; Vranješ-Đurić, S. The Analysis of 2,3-Dicarboxypropane-1,1-Diphosphonic Acid-Coated Magnetite Nanoparticles under an External Magnetic Field and Their Radiolabeling for Possible Theranostic Applications. New Journal of Chemistry 2019, 43 (15), 5932–5939. [https://doi.org/10.1039/c8nj06478d]

The influence of the addition of brushite on the mechanical properties of geopolymer binder

The growing need to protect the environment and reuse abandoned raw materials is increasingly used in the construction industry to make in addition to cementitious materials and geopolymer materials. Geopolymers are alkali-activated materials, in which the starting material is mainly some residual material such as: clay, fly ash, slag or red sludge [1,2]. There is growing need to create new binders which can replace portland cement and geopolymer materials are increasingly being used for this purpose. For geopolymerization reaction process high concentration basic solution with alkaline activators are adding and the process itself leads to modifications of the structures of the starting raw materials [1]. Due to growing needs to improve mechanical properties of geopolymer binders, different calcium sources can be added and one of them is brushite-dicalcium phosphate dihydrate [3]. The aim of this paper is synthesis and characterization of Brushite-metakaolin-based geopolymer material samples, with different percentages of pure Brushite material added. Brushite, was obtained by solution precipitation reaction from appropriate acetate salts solution, by green chemistry process. Raw kaolinite clay from the Rudovci deposit (Serbia) was used as Al and Si source for geopolymer binder production. Kaolinite was thermally treated at 750°C for three hours, to produce metakaolin and remove residual organic matter. In order to investigate the influence of calcium phosphate compound on mechanical and microstructural properties geopolymer material samples were synthesized using metakaolin mixed with activator solution prepared from sodium silicate and sodium hydroxide (6M) in relation 1,6 with addition of 2%, 4%, 6%, 8%, 10%, of pure brushite. Phase, structural, and microstructural characterisation were preformed in a mening of XRPD and SEM analysis. Difference between diffractograms of starting materials and Brushite-metakolin analogues indicates that geopolymerization process was successful in all samples. DRIFT technique was used to obtain characteristic vibrations of functional groups in obtained materials. The compressive strenghts of geopolymer binders containing brushite were in a range of 15-55 Mpa. The the highest hardness was achieved by a geopolymer with 10% of brushite

DFT Analysis of Hyperfine Couplings in d and f metal complexes with Tetrahydro Borate Ligands

Metal complexes with BH4 - ligands show extravagant structural and dynamic properties, and possess many important and applicable qualities (potent reducing agents and catalysts, materials for hydrogen storage). Electron paramagnetic resonance (EPR) is very important for the characterization of complex compounds, determination of their electronic configuration and geometry. Also, Density Functional Theory (DFT) can predict EPR parameters and explain them more profoundly. Of particular importance is the analysis and prediction of hyperfine coupling constants for lanthanide complexes with BH4 - ligands, given that there is not much data in the literature. Within this paper hyperfine coupling constants of d and f metal complexes with BH4 - ligands have been determined by DFT calculations, and analyzed in detail. Calculations predicted that proton hyperfine coupling constants are very small in the case of complexes of f elements, and are present only due to weak polarization. The increase of covalence and the number of unpaired electrons does not significantly affect the change of constants of BH4 - ligands, but only of protons that are bound by σ bonds.XI Serbian Ceramic Society Conference - Advanced Ceramics and Application : new frontiers in multifunctional material science and processing : program and the book of abstracts; September 18-20, 2023; Belgrad

Estimation of measurement uncertainty in measuring radiopharmaceutical activity in dose calibrator

Doze kalibrator je jedan od osnovnih uređaja u nuklearnoj medicini, koji se koristi za merenje aktivnosti (doza) radiofarmaceutika koji se daju pacijentima bilo u dijagnostičke ili u terapijske svrhe. Aktivnosti gama i beta emitera različitih energija moraju da budu izmerene što tačnije da bi izlaganja ljudi (pacijenata) jonizujućem zračenju bila svedena na najmanji mogući nivo, a da se dobiju klinički značajni rezultati. Početna tačnost kalibratora (nesigurnost 5% ili manje) može se vremenom menjati kao rezultat promene pritiska u jonizacionoj komori ili električnog drifta. Zbog toga kontrola kvaliteta doze kalibratora treba da se sprovodi rutinski kako bi se osigurala tačnost i sledljivost merenja.U radu su prikazani rezultati procene nesigurnostipri merenjima aktivnosti radiofarmaceutika u doze kalibratoru u Laboratoriji za radioizotope. Komponente nesigurnosti, koje su važne za ova merenja, identifikuju se i uzimaju u obzir prilikom procene merne nesigurnosti. Razumevanje izvora nesigurnosti i korišćenje odgovarajućih korekcionih faktora mogu minimizirati netačna merenja.A dose calibrator is an essential device in a nuclear medicine, utilized for measurement the activity of radiopharmaceuticals administered to patients both for diagnostic and therapeutic purposes. It has to measurethe radioactivity of gamma and beta with different energies precisely for high quality imaging and for applying the right amount of radiation to treat disease. Initial accuracy (uncertainty 5% or less) may change with time as a result of changing pressureof the chamber gas and slow electrical drift. The quality controls should be undertaken on a routine basis to ensure the accuracy and traceability of measurements of the activities of radiopharmaceuticals.The paper presents the results of estimation of uncertainty in the measurement of the activity in the dose calibrator in the Laboratory for radioisotopes. The uncertainty components, that are important for these measurements, are identified and taken into account while estimating the uncertainty of measurement. Understanding the source of uncertainty and using appropriate techniques can minimize inaccurate measurements.Proceedings: [http://vinar.vin.bg.ac.rs/handle/123456789/8681]XXX симпозијум ДЗЗСЦГ (Друштва за заштиту од зрачења Србије и Црне Горе), 2- 4. октобар 2019. године, Дивчибаре, Србиј