Background and Objectives: Resilience and perceived social support are crucial factors influencing psychological well-being among breast cancer survivors. Understanding their levels and interrelations can inform psychosocial interventions aimed at improving survivorship outcomes. This study aimed to examine the relationship between resilience and perceived social support, to evaluate the psychometric properties of the applied scales, and to explore their associations with key sociodemographic factors among breast cancer survivors. Materials and Methods: A total of 193 women in clinical remission, at least six months post-primary treatment, were recruited from the General Hospital Sombor. Participants completed sociodemographic and clinical questionnaires, the Connor–Davidson Resilience Scale (CD-RISC-25), and the Multidimensional Scale of Perceived Social Support (MSPSS). Descriptive statistics, Pearson’s correlations, and group comparisons (t-tests and ANOVA) were conducted to assess the relationships among study variables and sociodemographic factors. Results: Participants demonstrated moderate resilience (57 ± 18), with Coping and Hardiness as the strongest domains and Optimism the lowest. Perceived social support was also moderate (4.65–4.82) across all domains, highest for family and significant others. Resilience and perceived social support were positively correlated (r = 0.616, p < 0.001), with Hardiness most strongly associated with overall resilience (r = 0.899). Support from a significant other was particularly linked to adaptability (r = 0.617). Participants living in urban areas and those with higher income reported significantly higher resilience and social support, though with low effect sizes. No other sociodemographic associations were observed. Conclusions: Breast cancer survivors in this Serbian cohort reported moderate resilience and social support, with a strong interrelationship between the two. These findings underscore the importance of strengthening social support networks as a potential pathway to enhance resilience and psychological well-being in cancer survivorship care.

Background/Objectives: Dupuytren’s contracture is a chronic fibroproliferative disorder of the palmar fascia that leads to progressive flexion deformities and functional impairment. The Southampton Dupuytren’s Scoring Scheme (SDSS) is a disease-specific patient-reported outcome measure designed to quantify disability in this condition. This study aimed to translate, culturally adapt, and evaluate the psychometric properties of the Serbian version of the SDSS. Methods: A cross-sectional study was conducted at the Institute for Orthopedic Surgery “Banjica”, Belgrade, from January 2024 to March 2025. Sixty-eight patients with Dupuytren’s contracture completed the Serbian SDSS, the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, the 12-Item Short Form Health Survey (SF-12), and a Visual Analogue Scale (VAS) for pain. Translation followed standardized forward–backward procedures. Internal consistency was assessed with Cronbach’s alpha, construct validity with confirmatory factor analysis (CFA), and convergent validity with Pearson’s correlation coefficients. Results: The Serbian SDSS demonstrated excellent internal consistency (Cronbach’s α = 0.914). CFA supported a unidimensional five-item structure with strong factor loadings (0.76–0.93) and acceptable fit indices (χ2 = 10.094, df = 5, p = 0.073; IFI = 0.979; CFI = 0.978; TLI = 0.956). Convergent validity was confirmed by strong correlations with DASH (r = 0.779) and VAS (r = 0.702) and a strong negative correlation with SF-12 PCS (r = −0.802). Conclusions: The Serbian SDSS is a valid and reliable instrument for assessing functional disability in patients with Dupuytren’s contracture and offers a robust, patient-centered measure for clinical and research use.

Background: Artificial intelligence (AI), the overarching field that includes machine learning (ML) and its subfield deep learning (DL), is rapidly transforming clinical research by enabling the analysis of high-dimensional data and automating the output of diagnostic and prognostic tests. As clinical trials become increasingly complex and costly, ML-based approaches (especially DL for image and signal data) offer promising solutions, although they require new approaches in clinical education. Objective: Explore current and emerging AI applications in oncology and cardiology, highlight real-world use cases, and discuss the challenges and future directions for responsible AI adoption. Methods: This narrative review summarizes various aspects of AI technology in clinical research, exploring its promise, use cases, and its limitations. The review was based on a literature search in PubMed covering publications from 2019 to 2025. Search terms included “artificial intelligence”, “machine learning”, “deep learning”, “oncology”, “cardiology”, “digital twin”. and “AI-ECG”. Preference was given to studies presenting validated or clinically applicable AI tools, while non-English articles, conference abstracts, and gray literature were excluded. Results: AI demonstrates significant potential in improving diagnostic accuracy, facilitating biomarker discovery, and detecting disease at an early stage. In clinical trials, AI improves patient stratification, site selection, and virtual simulations via digital twins. However, there are still challenges in harmonizing data, validating models, cross-disciplinary training, ensuring fairness, explainability, as well as the robustness of gold standards to which AI models are built. Conclusions: The integration of AI in clinical research can enhance efficiency, reduce costs, and facilitate clinical research as well as lead the way towards personalized medicine. Realizing this potential requires robust validation frameworks, transparent model interpretability, and collaborative efforts among clinicians, data scientists, and regulators. Interoperable data systems and cross-disciplinary education will be critical to enabling the integration of scalable, ethical, and trustworthy AI into healthcare.

Understanding meat categorization is a fundamental component of veterinary education, especially within the context of food hygiene and public health. Veterinary students must grasp legal classifications of meat, which depend on variables such as species, age, quality, and processing techniques. This knowledge is essential for accurate meat inspection, labeling, and compliance with both national and international food safety standards. Despite prior exposure to muscle anatomy in anatomy course, students often face challenges in applying this knowledge to practical meat classification tasks. This study aimed to assess the effectiveness of three distinct instructional methods in improving veterinary students’ ability to identify meat categories and associated muscle structures: traditional classroom teaching, computer-based instruction using 3D models, and immersive virtual reality (VR). Participants included fourth-year veterinary students during the summer semester of the 2024/2025 academic year. To facilitate digital learning, a dedicated 3D model library “3DMeat” was developed as well as virtual reality environment. Results indicate that technology-enhanced instructional approaches, can significantly enhance student engagement and understanding of complex topics such as meat categorization. Initial test scores were highest in the group using 3D models (16.3 ± 4.1), followed by the traditional lecture-based group (15.6 ± 3.07), and the VR group (11.7 ± 5.1). However, a follow-up assessment conducted 2 weeks later revealed that VR group demonstrated the highest retention of knowledge. These findings suggest that although immediate performance may vary, immersive learning environments such as VR can foster stronger medium-term retention of complex material.

Public concern about environmental issues has led to growing interest in sustainability across various sectors, including entrepreneurship. However, beyond the concern for environmental protection and the presseration of natural resources for future generations, additional conditions are necessary to foster the development of sustainable entrepreneurship. While developed countries provide examples and evidence of the successful implementation of this concept, its application in developing countries presents challenges due to a range of limiting factors. In addition to essential financial support, the literature often highlights the lack and/or complexity of sustainability reporting, the absence of standards and clearly defined sustainability metrics, insufficient regulation, and the lack of support from higher education institutions as barriers to the transition toward sustainable entrepreneurship. This paper aims to examine the feasibility of applying the concept of sustainable entrepreneurship in Western Balkan countries, taking into account the aforementioned constraints. For the purpose of the empirical research, potential limitations were evaluated by managers and business owners in Albania, Bosnia and Herzegovina, North Macedonia, and Serbia. The results of the study answer the question of whether developing countries have the potential to foster sustainable entrepreneurship, given the analyzed constraints, or whether the implementation of this concept is reserved solely for large enterprises and economically advanced countries.

Learning from demonstration (LfD) has proved useful for teaching robots complex skills with high sample efficiency. However, teaching long-horizon tasks with multiple skills is challenging as deviations tend to accumulate, the distributional shift becomes more evident, and human teachers become fatigued over time, thereby increasing the likelihood of failure. To address these challenges, we introduce $(ST{)}^{2},$ a sequential method for learning long-horizon manipulation tasks that allows users to control teaching flow by specifying keypoints, enabling structured and incremental demonstrations. Using this framework, we study how users respond to two teaching paradigms: 1) a traditional monolithic approach in which users demonstrate the entire task trajectory at once, and 2) a sequential approach, in which the task is segmented and demonstrated step by step. We conducted an extensive user study on the restocking task with 16 participants in a realistic retail store environment, evaluating the user preferences and effectiveness of the methods. A user-level analysis showed superior performance for the sequential approach in most cases (10 users), compared with the monolithic approach (five users), with one tie. Our subjective results indicate that some teachers prefer sequential teaching—as it allows them to teach complicated tasks iteratively—or others prefer teaching in one go due to its simplicity.

Background: This study aimed to systematically review and analyze the available evidence on the safety and efficacy of physical activity (PA) in patients with HCM. Methods: We conducted a systematic search of PubMed, Cochrane, and Web of Science databases up to March 30, 2025. Fourteen studies (4 RCTs) were included in the qualitative synthesis and ten in the quantitative synthesis, totaling 10478 patients. Results: The meta-analysis demonstrated a significant improvement in peak VO2 in the moderate intensity PA (MIPA) group, with a mean difference of 1.77 mL/kg/min (95% CI: 0.93 to 2.60, I2 = 38.2%, p = 0.19), while changes in body mass index were not significant (MD: −0.66 kg/m2; 95% CI: −1.77 to 0.44; I2 = 62%; p = 0.07). No significant differences were observed in the occurrence of non-sustained ventricular tachycardia (NSVT) (OR = 1.54, 95% CI: 0.93 to 2.52, I2 = 28.3%, p = 0.24), atrial fibrillation (OR = 0.89, 95% CI: 0.77 to 1.03, I2 = 28.6%, p = 0.23), or syncope (OR = 1.23, 95% CI: 0.72 to 2.10, I2 = 25.6%, p = 0.24) between the MIPA and sedentary group. Additionally, the occurrence of NSVT between the high-intensity PA and MIPA group showed no significant difference (OR = 1.19, 95% CI: 0.60 to 2.36, I2 = 0%, p = 0.99). Conclusion: The results suggest that regular exercise does not increase the risk of NSVT, AF, or syncope while enhancing peak VO2, indicating that regular exercise is safe and beneficial in HCM patients.

The underdiagnosis of Attention-Deficit/Hyperactivity Disorder (ADHD) in females, particularly those with the inattentive presentation, highlights a critical gap in clinical care. While DNA methylation may be tissue-specific, accessible peripheral measures such as cord blood can provide valuable insights into early-life risk and serve as potential biomarkers for detection. We aimed to discover sex-specific epigenetic markers in cord blood associated with childhood ADHD symptoms, which could illuminate early-life risk mechanisms and inform improved detection strategies. Method We conducted sex-stratified epigenome-wide association study (EWAS) of cord blood DNA methylation in relation to ADHD symptoms among child participants (n=2,417; 47% females) of the Norwegian Mother, Father, and Child study (MoBa). We tested for sex-interaction effects and analyzed inattention and hyperactivity/impulsivity symptoms separately. Results We identified 21 differentially methylated CpG positions (DMPs). The majority (n=13) were associated with inattention symptoms exclusively in females, and all exhibited significant sex-interaction effects (corrected p-value <0.05). There was no overlap between the DMPs, or differentially methylated regions (DMRs) identified in females and males, and the epigenetic signatures for inattention and hyperactivity/impulsivity were largely distinct. Several annotated genes (e.g., PNPO, KDM5B, and GABRP) have recognized roles in neurotransmission and neurodevelopment. Conclusion Our findings demonstrate that the peripheral epigenetic profile at birth associated with later ADHD is remarkably different between sexes. This highlights the value of sex-stratified analyses and suggests that peripheral epigenetic markers hold promise for the development of tools for early detection.

This study presents a machine learning framework for predicting pedestrian accident severity using Amman, Jordan's first complete 10-year traffic dataset (2014–2023). Addressing the critical class imbalance where minor injuries predominate (85%), causing standard models to poorly detect severe cases (< 25% recall), we implement cost-sensitive algorithms and specialized undersampling techniques, such as XGBoost with Balancing the Loss Function (XGBLF) and Random Data Partitioning with Voting Rule (RDPVR), which enhanced learning from underrepresented Major/Fatal cases while maintaining data authenticity. Through mixed-type correlation analysis and statistical testing, vehicle speed, road illumination, vehicle type, driver age, and road conditions emerged as the most significant predictive factors. RDPVR achieved a 63% true positive rate for Major/Fatal injuries, a 2.78-fold improvement over standard classifiers, and XGBLF achieved 95%, but this achievement was on account of the accuracy of the minor cases. Comprehensive interpretability analysis (SHAP, LIME, and Permutation Importance) revealed that heavy vehicles, poor lighting, and high-speed driving strongly predict Major/Fatal outcomes. Notably, the analysis demonstrates Jordan's improved safety trajectory, with 2020–2023 showing reduced severe accidents compared to 2014–2016, indicating measurable policy impact. This study delivers the first interpretable, context-sensitive AI framework for Amman/Jordan pedestrian safety, translating technical insights into actionable recommendations for targeted interventions, urban planning, and data-driven enforcement strategies to reduce pedestrian injury severity in high-risk zones.

Unmanned aircraft are increasingly recognized for their potential to enhance healthcare logistics, offering rapid and reliable transport solutions. Among the many envisioned use cases, emergency medical deliveries stand out as particularly promising due to their immediate societal value. This study investigates the potential of drones operating under U-space to support hospital-to-hospital emergency deliveries in Madrid. Using the GEMMA tool, we modeled and simulated operations with two drone types along direct routes between four hospitals, resulting in six hospital pairs. Drone travel times were estimated and compared against road transport times obtained from the Google Routes API, incorporating one week of traffic data to capture daily and weekend variability. The results show substantial advantages of aerial transport, with time savings ranging from 2 to 26 min, equivalent to 35–58% compared to road transport. Drones consistently ensured deliveries within 15 min, outperforming regular cars (39%) and ambulances or motorcycles in highly congested periods. Sensitivity analysis confirms their reliability in scenarios with strict time constraints, especially under 15 min. These findings demonstrate that drones reduce travel times and improve predictability, providing a robust evidence base for policymakers and regulators to advance U-space integration in healthcare logistics.

Deformable medical image registration is a fundamental task in medical image analysis. While deep learning-based methods have demonstrated superior accuracy and efficiency, they often overlook the critical role of regularization in ensuring robustness and anatomical plausibility. We propose DARE (Deformable Adaptive Regularization Estimator), a novel registration framework that dynamically adjusts elastic regularization based on the gradient norm of the deformation field. The method integrates strain and shear energy terms, adaptively modulated to balance deformation stability and flexibility, and includes a folding-prevention mechanism that penalizes regions with negative deformation Jacobian to reduce folding artifacts and encourage topologically plausible mappings. Extensive experiments on the IXI, OASIS, and MUI-P datasets demonstrate that DARE consistently improves registration accuracy while preserving anatomical plausibility. Compared with classical regularizers and state-of-the-art learning-based methods, DARE achieves higher Dice scores and reduces folding artifacts, while maintaining low strain energy and realistic volume changes in key brain structures. These results confirm that the proposed adaptive regularization mechanism delivers robust, accurate, and physiologically consistent deformation fields across clinical scenarios related to brain registration.

This study examines job performance among judo referees through the lens of personality traits during World Judo Tour events from 2018 to 2022. Sixty-three referees completed an online questionnaire including the Big Five Inventory (BFI) and the Conditions for Work Effectiveness Questionnaire (CWEQ-II). Data were analyzed using descriptive statistics, correlation analysis, and structural equation modeling (SEM). The measurement model showed acceptable validity and reliability, confirming the structural model. Support and resources emerged as the most influential factors affecting job satisfaction (JAS) and organizational role satisfaction (ORS). Incorporating refereeing experience at major events into the model indicated only partial model fit. Findings highlight the role of structural empowerment in mitigating job dissatisfaction among referees. Future research with larger samples should further strengthen the understanding of the relationship between personality traits, empowerment, and job performance.

Background: Breast cancer remains the most common cancer in women worldwide. Treatment has evolved into multimodal approaches, with pathologic complete response (pCR) after neoadjuvant chemotherapy (NAC) serving as a key prognostic marker. The aim of this study was to evaluate the value of inflammatory markers in predicting pCR to NAC in breast cancer. Methods: This cross-sectional study of 74 patients with breast cancer who underwent NAC followed by surgery included demographic, tumor, and immune-inflammatory marker data. Receiver operating characteristic curve analysis and the Youden index were used to determine optimal cutoff values. Univariate and multivariate logistic regression assessed associations between markers and pCR, adjusting for tumor stage, human epidermal growth factor receptor 2 (HER2), and estrogen receptor (ER) status. Results: Our multivariate analysis identified the pan-immune-inflammation value (PIV), HER2 status, and ER status as significant independent predictors of pCR. PIV (OR, 4.28; 95% CI, 1.59–16.88) remained significant among inflammatory markers, while the neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), and platelet-to-lymphocyte ratio (PLR) did not. HER2-positive (OR, 7.45; 95% CI, 2.30–24.15) and hormone receptor (HR)–negative (OR, 7.02; 95% CI, 2.63–18.70) statuses were also strongly associated with pCR. Conclusion: PIV is a robust predictor of pCR in patients with breast cancer receiving NAC, offering a comprehensive reflection of the immune-inflammatory state. Incorporating PIV with tumor-specific markers (e.g., receptor status, Ki-67, grade) may enhance treatment stratification. Further validation in diverse cohorts is warranted.