Although deep learning (DL) algorithms have been proved to be effective in diverse research domains, their application in developing models for tabular data remains limited. Models trained on tabular data demonstrate higher efficacy using traditional machine learning models than DL models, which are largely attributed to the size and structure of tabular datasets and the specific application contexts in which they are utilized. Thus, the primary objective of this paper is to propose a method to use the supremacy of Stacked Bidirectional LSTM (Long Short-Term Memory) deep learning algorithms in pattern discovery incorporating tabular data with customized 3D tensor modeling in feeding neural networks. Our findings are empirically validated using six diverse, publicly available datasets each varying in size and learning objectives. This paper proves that the proposed model based on time-sequence DL algorithms, which were generally described as inadequate when dealing with tabular data, yields satisfactory results and competes effectively with other algorithms specifically designed for tabular data. An additional benefit of this approach is its ability to preserve simplicity while ensuring fast model training also with large datasets. Even with extremely small datasets, models can be applied to achieve exceptional predictive results and fully utilize their capacity.

The diagnosis of extensive pulmonary tuberculosis, especially in young people, should take into account the possibility of an associated systemic autoimmune disease. Infections remain an important cause of morbidity and mortalityin systemic lupus erythematosus. This case illustrates the importance of recognizing the association of systemic autoimmune diseases and infections and the need for a multidisciplinary approach.

Aim: During the pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), many countries reported a significant decrease in the prevalence of influenza virus cases. The study aimed to characterize the flu seasons from 2018 to 2023 in Sarajevo Canton, Bosnia and Herzegovina (B&H), and to assess the possible impact of the SARS-CoV-2 pandemic on the influenza A and B virus circulation.  Methods: The CDC Human Influenza Virus Real-Time RT-PCR Diagnostic Panels were used for the detection of influenza virus A and B, and subtyping of influenza virus A (H1pdm09 virus and H3). The data for this regis-try-based retrospective study were collected at the Clinical Centre of the University of Sarajevo, Unit for Clinical Microbiology (the laboratory that acts as a referral for the detection and characterization of influenza virus and SARS-CoV-2 in Federation B&H). Results: In the 2018/2019 and 2019/2020, an equal percentage of positive cases was recorded (148/410; 36%, and 182/504; 36%, respectively). The absence of the influenza virus was observed in 2020/2021. During 2021/2022, influenza virus was detected among 19/104 (18%) patients and slightly increased in 2022/2023 (45/269; 17%). The switch of the influenza B virus lineage was observed. Conclusion: The SARS-CoV-2 virus had an impact on the prevalence of influenza virus infection among the population of the Sarajevo Canton, B&H. Since the interactions between these two viruses are not entirely clear, awareness of a possible threat to public health is crucial.

AIM To evaluate the clinical impact of corticosteroids (CS) overuse in inflammatory bowel disease (IBD) patients. Excessive use of CS could delay more efficacious treatment and may indicate poor quality of care. METHOD This is a two-phase study that used Steroid Assessment Tool (SAT) to measure corticosteroid exposure in IBD patients. In the first phase, data from 211 consecutive ambulatory patients with IBD (91 with ulcerative colitis, 115 with Crohn's disease, and five with unclassified inflammatory bowel disease) were analysed by SAT. In the second phase, one year after data entry, clinical outcome of patients with corticosteroids overuse was analysed. RESULTS Of the 211 IBD patients, 132 (62%) were not on corticosteroids, 45 (22%) were corticosteroid-dependent, and 34 (16%) used corticosteroids appropriately, according to the European Crohn's and Colitis Organization guidelines. In the group of patients with ulcerative colitis, 57 (63%) were not on corticosteroids, 18 (20%) were corticosteroid-dependent, and 16 (16%) used corticosteroids appropriately; in the group of patients with Crohn's disease 70 (61%), 27 (23%) and 18 (16%), respectively. Overall, 24 (out of 45; 53%) patients with IBD could avoid the overuse of corticosteroids if they had a timely change of the treatment, surgery, or entered a clinical trial. CONCLUSION An excessive corticosteroid use can be recognized on time using the SAT. We have proven that excessive corticosteroid use could be avoided in almost half of cases and thus the overuse of CS may indicate poor quality of care in those patients.

AIM To determine the normative range of ultrasound dimensions for the liver, spleen and kidneys in healthy children according to gender, age, body measurements, body surface area (BSA), and the influence of ethnicity on organ size. METHODS The prospective study included children, ranging from full-term neonates to children aged 15, with normal ultrasonographic (US) findings of the liver, spleen and kidney and no clinical evidence of a disease. Gender, age, as well as body measurements and BSA, were determined for each child along with US measurements, and normative ranges were established. RESULTS US images of the liver and spleen from 372 children and 366 US images of kidneys of 366 children were included. US measurements of the liver, spleen and kidney correlated well with gender, age, body weight and height, and often differed to a greater or lesser extent from the normal range of measurements (5th to 95th percentile) reported in other studies. CONCLUSION Our results differed slightly from other reports conducted in Europe, but larger differences compared to measurements performed on children on other continents were found. Thus, our study confirmed that ethnically appropriate and modern tables of normal ultrasound dimensions for the liver, spleen and kidneys should be used, and that the national nomogram is justified.

Using AI through industries and business processes is increasingly becoming the subject of theorists and practitioners. In the HRM process, the use of AI gives companies numerous advantages in employee performance, and processes, but also presents them with organizational, financial, technical, legal, and personnel challenges. This paper explores the application of AI systems in recruitment and selection through gamification strategies, people analytics, talent intelligence, AI platforms, video interviews, and conversational AI. It provides an overview of the benefits and challenges associated with their implementation. Additionally, the paper delves into ethical considerations and legislation, focusing on the EU Act, domestic laws, and ISO AI standards. The primary goal of this paper is to provide a comprehensive understanding of AI's role in HR processes and the complexities of implementing AI solutions in recruitment and selection.

In this study, we develop an in silico model of a neuron’s behaviour under demyelination caused by a cytokine storm to investigate the effects of viral infections in the brain. We use a comprehensive model to measure how cytokine-induced demyelination affects the propagation of action potential (AP) signals within a neuron. We analysed the effects of neuron-neuron communications by applying information and communication theory at different levels of demyelination. Our simulations demonstrate that virus-induced degeneration can play a role in the signal power and spiking rate, which compromise the propagation and processing of information between neurons. We propose a transfer function to model the weakening effects on the AP. Our results show that demyelination induced by a cytokine storm not only degrades the signal but also impairs its propagation within the axon. Our proposed in silico model can analyse virus-induced neurodegeneration and enhance our understanding of virus-induced demyelination.

Purpose: Previous studies of the Public Opinion Survey of Human Attributes-Stuttering (POSHA-S), using test and retest designs in modest-sized samples, have reported satisfactory test-retest reliability, i.e., correlations of about 0.80. Simultaneously, lower but moderate correlations between different first and second test respondents were observed and hypothesized to represent unspecified “societal” influences on stuttering attitudes. This study sought to clarify this and other potential relationships between first and second tests with the POSHA-S in a large, geographically and linguistically diverse sample.Methods: POSHA-S Overall Stuttering Scores (OSSs) of 345 respondents from 12 test-retest samples from four countries and languages, with no intervening interventions, were analyzed with correlations and by grouping respondents according to whose stuttering attitudes improved, remained the same, or worsened from test to retest.Results: Test and retest OSSs generally conformed to normal distributions and were not significantly different. Correlations between first versus second tests replicated earlier research. However, when the degree and direction of change from test to retest was considered, both in other correlations and in sorts of respondents, unexpected results emerged. Respondents with intermediate attitudes changed minimally, while those with most and least positive attitudes at the first test changed in opposite directions past the overall mean at second test.Conclusions: While demonstrating adequate test-retest reliability correlations on the POSHA-S, public attitudes were found to be less stable than previously assumed.

Simple Summary This study explored the differences in skull and mandible shapes between male and female brown bears using advanced 3D imaging techniques. The main goal was to understand how and why these shapes vary, focusing on whether these differences are due to size or sex. The research found that male brown bears have longer and thinner skulls, with notable changes in specific areas like the back of the head and jaw muscles. These differences are likely linked to the larger body size of male bears, which may require stronger muscles and a different skull structure to support their greater weight and chewing needs. The study highlights the importance of these shape variations for the bears’ adaptation to their environment. Understanding these differences can help conserve and manage brown bear populations by providing insights into their physical development and needs. This knowledge is valuable for wildlife biologists, conservationists, and anyone interested in the natural world, offering a clearer picture of how animals adapt over time. Abstract The present study aimed to describe the skull and mandibles of the brown bear (U. arctos) from the Dancing Bear Belitsa Park using advanced 3D morpho-geometric techniques. The objective was to explore how sexual dimorphism and size influence cranial structures using advanced 3D geometric morphometric methods. Three-dimensional models of the skulls and mandibles of 12 brown bears were used. Differences in skull morphology between male and female brown bears were observed in this study. The male brown bear skull, larger than the female, exhibited a more pronounced extension of the upper part of the nuchal region towards the posterior. Additionally, the posterior part of the frontal region appeared notably thinner in male brown bears compared to females. Analysis of the mandible revealed that the masseteric fossa was more developed in males than females. These shape differences between males and females were found to be influenced by body size. Statistical analyses indicated a significant allometric effect of body size on skull PC1 values, suggesting that giant bears tend to have more elongated skulls. This implies a relationship in which larger individuals exhibit greater cranial elongation. In contrast, mandible PC1 values showed no size-related variation, indicating that mandibular shape is less influenced by overall body size. However, PC2 values in the mandible increased significantly with larger specimens, indicating a larger masseteric fossa in larger bears. This morphological adaptation potentially enhances feeding efficiency and bite strength in larger individuals, reflecting functional adaptations in brown-bear mandibular morphology. These findings contribute to our understanding of sexual dimorphism and size-related morphological adaptations in brown bears, providing insights into their adaptation biology and ecological roles within their habitats.

Background and Objectives: The saphenous vein graft (SVG) remains the most frequently used conduit worldwide, despite its common disadvantage of early graft failure. To solve the problem and reduce the SVG damage, Souza implemented a new technique where a vein is harvested with surrounding fascia and fat tissue (the so-called no-touch technique). Materials and Methods. A prospective study conducted from February 2019 to June 2024 included 23 patients who underwent myocardial revascularization using a no-touch vein, with follow-up control examinations using computed tomographic angiography to detect graft stenosis or occlusion. Results. Of the entire patient group, 17 (73.9%) were male, with a mean age of 67.39 ± 7.71 years. The mean follow-up period was 25 months. There were no major adverse cardiovascular or cerebrovascular events (MACCEs) during hospitalization, although one patient died in the hospital. Another patient died due to malignancy, but no MACCEs occurred during the follow-up period. According to multi-slice CT coronary angiography, the results were impeccable, with an astonishing 100% patency observed in all 20 IMA grafts and 58 no-touch SVGs examined. Conclusions. The excellent patency rate during the early follow-up period confirmed that the no-touch technique is a good option for surgical revascularization.

Diabetes mellitus and inflammatory bowel disease are chronic conditions with significant overlap in their pathophysiology, primarily driven by chronic inflammation. Both diseases are characterized by an aberrant immune response and disrupted homeostasis in various tissues. However, it remains unclear which disease develops first, and which one contributes to the other. Diabetes mellitus increases the risk of inflammatory bowel disease and inflammatory bowel disease may increase the risk of developing diabetes. This review focuses on comprehensively discussing the factors commonly contributing to the pathogenesis of diabetes mellitus and inflammatory bowel disease to draw a relationship between them and the possibility of targeting common factors to attenuate the incidence of one if the other is present. A key player in the intersection of diabetes mellitus and inflammatory bowel disease is the NLRP3 inflammasome, which regulates the production of pro-inflammatory cytokines leading to prolonged inflammation and tissue damage. Additionally, toll-like receptors via sensing microbial components contribute to diabetes mellitus and inflammatory bowel disease by initiating inflammatory responses. Gut dysbiosis, a common link in both diseases, further intensifies inflammation and metabolic dysfunction. Alterations in gut microbiota composition affect intestinal permeability and immune modulation, perpetuating a vicious cycle of inflammation and disease progression by changing protein expression. The overlap in the underlying inflammatory mechanisms has led to the potential of targeting mediators of chronic inflammation using anti-inflammatory drugs and biologics that benefit both conditions or attenuate the incidence of one in the presence of the other.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Abstract Objective The objective of this prospective study was to assess the concentration and impact of maternal 25(OH)D status on neonatal vitamin D concentrations and early neonatal outcomes in the newborns of mothers who did not take vitamin D supplements during pregnancy. Methods and participants The study is a cohort prospective study of the correlation of VD concentrations in mothers and their newborns. The study included 100 pairs. Results Only 16 mothers had a VD concentration in the reference interval (75–100 nmol/L), while 84 mothers had values less than 75 nmol/L (p<0.001). A significant difference in maternal VD concentration was determined in relation to tobacco consumption habits during pregnancy and placental condition (p<0.001). 95% of the neonates (95/100) of older, obese multigravida, who had hypovitaminosis D and inadequate exposure to sunshine, had normal VD concentrations (the mean=49.27 nmol/L) on the first day of life. The majority of the mothers gave birth to full-termnewborns with normal vitality scores and CRP and bilirubin levels in the reference interval. Conclusion The conclusion of this prospective study is that 84% of the healthy pregnant women had hypovitaminosis D. However 95% of their newborns were born full term, with normal anthropometric measurements, normal vitality scores, and normal VD concentrations. This study also confirmed that there is still no cause-and-effect association between hypovitaminosis D in pregnant women and their offspring with outcome parameters for both.