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The area of military operations is a big challenge for medical support. A particularly important factor that allows medical services to react quickly in the case of mass casualties is the ability to rapidly evacuation of wounded soldiers from a battlefield. To meet this requirement, an effective medical evacuation system is essential. The paper presented the architecture of the electronically supported decision support system for medical evacuation during military operations. The system can also be used by other services such as police or fire service. The system meets the requirements for tactical combat casualty care procedures and is composed of following elements: measurement subsystem, data transmission subsystem and analysis and inference subsystem. The system, based on the continuous monitoring of selected soldiers’ vital signs and biomedical signals, automatically proposes a medical segregation of wounded soldiers (medical triage). The information on the triage was visualized using the Headquarters Management System for medical personnel (first responders, medical officers, medical evacuation groups) and for commanders, if required. All elements of the architecture were described in the paper.

There remains much debate about the correct management of incidentally found brain tumors in the pediatric population. This study aimed to evaluate the efficacy and safety of surgical treatment of incidentally found pediatric brain tumors. A retrospective analysis of pediatric patients who underwent surgical resection of incidentally found brain tumors between January 2010 and April 2016 was performed. A total of seven patients were included. The median age at the time of diagnosis was 9.7 years. The reasons for performing neuroimaging were as follows: impeded speech development (n = 2), shunt control (n = 1), paranasal sinuses control (n = 1), behavior changes (n = 1), head trauma (n = 1), and preterm birth (n = 1). Five patients underwent gross total tumor resection (71.4%), while subtotal resection was performed in two patients (28.6%). There was no surgery-related morbidity. Patients were followed up for a mean of 79 months. One patient with atypical neurocytoma experienced tumor recurrence 45 months following primary resection. All patients remained neurologically intact. The majority of pediatric incidentally found brain tumors were histologically benign. Surgery remains a safe therapeutic approach associated with favorable long-term outcomes. Considering the expected long lifetime of pediatric patients, as well as the psychological burden associated with having a brain tumor as a child, surgical resection can be considered an initial approach.

In our research, we analyzed the energy and water consumption in diamond mining and laboratory synthesis operations. We used publicly available reports issued by two market leaders, DeBeers and ALROSA, to estimate water and energy use per carat of a rough diamond. The efficiency of the two most popular synthesis technologies for artificial diamonds—High-Pressure-High-Temperature (HPHT) and Microwave-assisted Chemical Vapor Deposition (M-CVD)—was examined. We found that the modern HPHT presses, with open cooling circuits, consume about 36 kWh/ct when producing gem-quality and average-sized (near-) colorless diamonds. ALROSA and DeBeers use about 96 kWh/ct and 150 kWh/ct, respectively, including all energy required to mine. Energy consumption of M-CVD processes can be different and depends on technological conditions. Our M-CVD machine is the least energy-efficient, requiring about 215 kWh/ct in the single-crystal regime, using 2.45-GHz magnetron for the support synthesis. The M-CVD methods of individual synthetic companies IIa Technology and Ekati Mine are different from our results and equal 77 and 143 kWh/ct, respectively. Water consumption for the HPHT and M-CVD methods was insignificant: approximately zero and 0.002 m3/ct, respectively, and below 0.077 m3/ct for ALROSA-mined diamonds. This study touches upon the impact of the diamond production methods used on the carbon footprint.

Bleeding from ruptured brain arteriovenous malformations (bAVMs) represents the most prevalent cause of pediatric intracranial hemorrhage, being also the most common initial bAVM manifestation. A therapeutic approach in these patients should aim at preventing rebleeding and associated significant morbidity and mortality. The purpose of this study was to determine the clinical outcomes of pediatric patients who initially presented at our institution with ruptured bAVMs and to review our experience with a multimodality approach in the management of pediatric ruptured bAVMs. We retrospectively reviewed pediatric patients’ medical records with ruptured bAVMs who underwent interventional treatment (microsurgery, embolization, or radiosurgery; solely or in combination) at our institution between 2011 and 2020. We identified 22 patients. There was no intraoperative and postoperative intervention-related mortality. Neither procedure-related complications nor rebleeding were observed after interventional treatment. Modified Rankin Scale (mRS) assessment at discharge revealed 19 patients (86.4%) with favorable outcomes (mRS 0–2) and 3 patients (13.6%) classified as disabled (mRS 3). Microsurgery ensured the complete obliteration in all patients whose postoperative digital subtraction angiography (DSA) was available. Management of high-grade bAVMs with radiosurgery or embolization can provide satisfactory outcomes without a high disability risk.

Endurance sports have an unarguably beneficial influence on cardiovascular health and general fitness. Regular physical activity is considered one of the most powerful tools in the prevention of cardiovascular disease. MicroRNAs are small particles that regulate the post-transcription gene expression. Previous studies have shown that miRNAs might be promising biomarkers of the systemic changes in response to exercise, before they can be detected by standard imaging or laboratory methods. In this review, we focused on four important physiological processes involved in adaptive changes to various endurance exercises (namely, cardiac hypertrophy, cardiac myocyte damage, fibrosis, and inflammation). Moreover, we discussed miRNAs’ correlation with cardiopulmonary fitness parameter (VO2max). After a detailed literature search, we found that miR-1, miR-133, miR-21, and miR-155 are crucial in adaptive response to exercise.

Reliable and accurate positioning underwater has been the goal of many research activities in the last years. In this paper, we present our design of a self-maintainable underwater navigation system, which provides a simple, low-cost, and flexible solution. In our concept, a set of buoys is equipped with Global Navigation Satellite System (GNSS) receivers as well as underwater pseudolite signal transmitters. Therefore, the buoys are able estimate their position and transmit this information underwater through a pseudolite signal. We particularly designed this signal for underwater ranging for both fresh and salt water. Any suitable underwater receiver is then able to do ranging via these pseudolite signals. In this paper, we theoretically analyze and test our concept using several buoy distributions and diving depths. The optimal arrangement of buoys is determined in terms of accuracy and availability depending on the number of available buoys and targeted water depth for an efficient operation. For example, at a targeted depth of 30 m in fresh water, a maximum horizontal position root-mean-square (RMS) error of less than 3 m can be achieved with a set of five buoys providing a service radius of up to 72 m.