The rate of periprosthetic femoral fractures following total hip replacement has been growing steadily in the last 20 years and ranges from 0.1% to 2.1%. These fractures are mostly related to older patients with the presence of chronic diseases and frequently poor bone quality. The treatment is surgically very complex and demanding, followed by a series of complications. The evaluation in this retrospective study included 23 patients who were medically treated from January 2004 to December 2015 with the mean follow-up of 14.5 (range, 9-25) months. There were 17 patients with cement total hip arthroplasty (THA) and 6 with cementless THA. During treatment of fractures, different techniques were implemented including the use of wire cerclage, dynamic compression plates (DCP), a locking compression plate (LCP) system, and long revision stem. For the purpose of distinguishing fractures, we used the Vancouver classification by Duncan and Masri. For clinical evaluation, we used the modified Merle d'Aubigne score system and monitored complications during treatment. The aim is to show treatment results of the type B periprosthetic femoral fractures by using different operative treatment techniques. According to the Vancouver classification within type B, 10 (43.47%) patients had type B1 fractures, another 10 (43.47%) patients had type B2 fractures, and three (13.04%) patients had type B3 fractures. According to gender distribution, there were eight (34.8%) male and 15 (65.2%) female patients, mean age 59.5 (range, 47-86) years. Twelve (52.2%) and 11 (47.8%) patients had left- and right-sided fractures, respectively. The mean length of hospital stay was 16 (range, 9-26) days. According to the Merle d'Aubigne score system, 10 patients with type B1 fractures had the mean score of 11.5 points, which is poor result. Poor result was also recorded in patients with type B2 fractures, with the mean score of 10.6 points. The three patients with type B3 fractures had the mean score of 12 points, which is considered fair score. In conclusion, Vancouver classification has been widely accepted and using the protocols makes decision making during treatment much easier. During treatment of this type of fracture, we used various implants, wire cerclage, DCP and LCP, as well as long stem revision. In certain cases, we applied surgical techniques, implants that are not recommended by the Vancouver protocol by which we treated periprosthetic femoral fractures; in these case, we recorded nonunion bone, malunion and breaking of implants, which resulted in poor treatment outcome.

SUMMARY -Application of humeral nail in the treatment of humeral shaft fractures is a relatively novel method of fracture fixation. Its application at Clinical Department of Traumatology, Sestre milosrdnice University Hospital Center began in 2001. The operative procedure should be performed using a minimally invasive technique without fracture opening in order to maintain optimal conditions for fracture healing including hematoma management. However, in everyday practice it is often impossible to obtain satisfactory fracture reduction using the closed procedure, so open reduction and additional fixation with wires or screws are mandatory. Over the last 14 years, fixation of fractures with the locking nail was performed in more than 400 patients. Cases of pseudarthrosis and pathological fractures were also managed successfully. There were more female patients. The mean time from injury to surgery was 2.4 days. Surgery was performed immediately upon admission to the emergency service whenever possible. This study comprised 234 patients with humeral shaft fractures treated with the humeral nail (antegrade insertion was applied in 103 and retrograde in 131 patients). The aim of the study was to stress out the complexity of appropriate operative treatment of humeral shaft fractures using intramedullary fixation, as well as the importance of proper reduction and stable fixation.

The paper addresses acoustic vehicle detection and speed estimation from single sensor measurements. We predict the vehicle's pass-by instant by minimizing clipped vehicle-to-microphone distance, which is predicted from the mel-spectrogram of input audio, in a supervised learning approach. In addition, mel-spectrogram-based features are used directly for vehicle speed estimation, without introducing any intermediate features. The results show that the proposed features can be used for accurate vehicle detection and speed estimation, with an average error of 7.87 km/h. If we formulate speed estimation as a classification problem, with a 10 km/h discretization interval, the proposed method attains the average accuracy of 48.7% for correct class prediction and 91.0% when an offset of one class is allowed. The proposed method is evaluated on a dataset of 304 urban-environment on-field recordings of ten different vehicles.

Particulate matter air pollution is one of the most dangerous pollutants nowadays and an indirect cause of numerous diseases. A number of these consequences could possibly be avoided if the right information about air pollution were available at a large number of locations, especially in urban areas. Unfortunately, this is not the case today. In the whole of Europe, there are just approximately 3000 automated measuring stations for PM10, and only about 1400 stations equipped for PM2.5 measurement. In order to improve this issue and provide availability of real-time data about air pollution, different low-cost sensor-based solutions are being considered both on-field and in laboratory research. In this paper, we will present the results of PM particle monitoring using a self-developed Ecomar system. Measurements are performed in two cities in Montenegro, at seven different locations during several periods. In total, three Ecomar systems were used during 1107 days of on-field measurements. Measurements performed at two locations near official automated measuring stations during 610 days justified that the Ecomar system performance is satisfying in terms of reliability and measurement precision (NRMSE 0.33 for PM10 and 0.44 for PM2.5) and very high in terms of data validity and operating stability (Ecomar 94.13%–AMS 95.63%). Additionally, five distant urban/rural locations with different traffic, green areas, and nearby industrial objects were utilized to highlight the need for more dense spatial distributions of measuring locations. To our knowledge, this is the most extensive study of low-cost sensor-based air quality measurement systems in terms of the duration of the on-field tests in the Balkan region.

Introduction:Subcapital femoral neck fractures are associated with high morbidity and mortality. These fractures mostly occur as a result of a high-force impact from traffic accidents and a fall from a great height, though non-traumatic forms are described in transient osteoporosis during the second half of pregnancy, in convulsions during electric shock, eclampsia, hypocalcemia, osteomalacia, renal osteodystrophy and myeloma.Case report:In this report we present a bilateral subcapital femoral neck fracture in a woman sustained two days after delivery. The right hip fracture was treated with fixation using three spongious screws without capsular decompression, while for the left hip a capsular decompression by open reduction and fixation was performed. Physical treatment based on active and passive movements was immediately initiated. The patient was able to rest upon her right leg within seven and upon the left leg within eight months. X-Rays showed the accurate position of fragments and implants throughout the recovery period. Twelve years later, the patient made a full recovery and the x-rays showed that both femoral heads are vital and fully recovered.Conclusion:Early anatomical reconstruction followed by internal fixation is crucial in the prevention of long-term complications. Complications of internal fixations include non-union (10-30%), avascular necrosis (15-33%), deep vein thrombosis and pulmonary embolism.