The lack of transparency and explainability hinders the clinical adoption of Machine learning (ML) algorithms. While explainable artificial intelligence (XAI) methods have been proposed, little research has focused on the agreement between these methods and expert clinical knowledge. This study applies current state-of-the-art explainability methods to clinical decision support algorithms developed for Electronic Medical Records (EMR) data to analyse the concordance between these factors and discusses causes for identified discrepancies from a clinical and technical perspective. Important factors for achieving trustworthy XAI solutions for clinical decision support are also discussed.

Graft-vs-host disease (GVHD) is a common complication of allogeneic stem cell transplant (alloSCT) wherein donor T cells target alloantigens on recipient tissues. It is unclear how alloimmune responses are maintained in GVHD despite abundant antigen, which causes T cell anergy, deletion and exhaustion. Previously, we identified alloreactive TCF-1 high T cells arising post-transplant that resemble exhausted progenitors (T EXP) capable of propagating immune responses in other chronic antigen models. Here, we sought to further characterize these cells in the B6→129 MHC-matched GVHD mouse model, in which 129 recipients express the immunodominant H-2K b-restricted minor histocompatibility antigen (miHA) H60. At day +7 post-transplant, alloreactive CD8 + cells specific to H60 (as determined by MHC-I-tetramer staining; Tet H60+) were nearly uniformly PD-1 hiTox hi whereas Tet H60- cells displayed a bimodal distribution into discrete PD-1 hiTox hi and PD-1 loTox lo populations, indicative of more diverse antigen experiences. Among these both Tet H60+ and Tet H60- cells were TCF-1 hi cells. TCF-1 hi Tet H60+ cells were uniformly CD39 loTox hiPD-1 hi, which is a canonical T EXP phenotype. In contrast, among activated Tet H60- cells there were TCF-1 hi cells that were CD39 loTox hiPD-1 hi and Tox loPD-1 lo. At later times in spleen and lymph node, and in GVHD target tissues, these populations of TCF-1 + Tet H60+ and Tet H60- were found. To test if these CD39 loTCF-1 hi T EXP had proliferative advantages in GVHD, we sorted congenic TCF-1 hiCD39 lo and TCF-1 loCD39 hi CD8 + cells from recipient spleens 14-days post-transplant and adoptively transferred them in competition in a 1:1 ratio (of Tet H60+ cells) into newly transplanted recipients. Among Tet H60+ cells in all tissues at day 14 post-transfer, TCF-1 hiCD39 lo-sorted progeny greatly outperformed TCF-1 loCD39 hi-sorted progeny. In line with their role as a source of GVHD effectors, progeny of TCF-1 hiCD39 lo cells were mostly TCF-1 loCD39 hi; however, a fraction remained TCF-1 hi consistent with their being able to undergo self-renewal. Conversely, we observed few if any TCF-1 + progeny of CD39 hi cells. We next tested whether TCF-1 was an important mediator of T cell fitness or whether it was only a marker for functionality. To do so we competed congenic wild-type (WT) and Tcf7 p45-/- (p45 -/-) donor CD8 cells, which lack the N-terminal β-catenin binding domain of TCF-1, in allogeneic (129) and syngeneic (B6) recipients. Strikingly, p45 -/- CD8 cells were greatly outcompeted by WT CD8 cells in 129 recipients in all tissues and at all times post-transplant, among both Tet H60+ and Tet H60- cells. In contrast, in B6 recipients, WT and p45 -/- cells remained evenly matched, suggesting that full-length TCF-1 isoforms are dispensable for lymphopenia-induced T cell expansion. Further, p45 -/- cells were also not disadvantaged when adoptively transferred into B6 mice and acutely challenged with H60 antigen by vaccination. Together these data suggest a model wherein TCF-1 hi progenitor like T cells are seeded in GVHD target organs where they may serve as a key local source for GVHD effectors, and moreover, full-length TCF-1 is itself critical for alloreactive T cell fitness in GVH responses.

We investigated the acute effects of different whole-body vibration (WBV) interventions on the jump height of highly trained karate practitioners. Fifteen male karate club athletes (age: 20.0 ± 3.8 years; stature: 177.3 ± 4.7 cm; body mass: 76.9 ± 11.2 kg; % body fat: 9.2 ± 4.3) performed six randomized interventions: [a] static half-squat (SHS); [b] SHS with external loads at 30% of the body weight (SHS + 30%BW); [c] WBV at frequency (f) 25 Hz, and 2 mm amplitude (A) (WBV 25/2); [d] WBV 25/2 with external loads of 30% of the body weight (WBV 25/2 + 30% BW); [e] WBV at f = 50 Hz, and A = 4 mm (WBV 50/4), and [f] WBV 50/4 with external loads of 30% of the body weight (WBV 50/4 + 30% BW). Each intervention was performed for 5 sets at 60 s/set, with a rest interval of 30 s between sets. Countermovement jump (CMJ) data were collected at 2, 4, 6, 8 and 10 min after each preconditioning intervention. Two-way repeated-measures ANOVA revealed a non-significant main effect of intervention [F(5, 10) = 1.44, η2 = 0.42, p = 0.29)] and a significant main effect of the rest interval [F(4, 11) = 3.51, η2 = 0.56, p = 0.04)] on CMJ height. A rest interval of 4 min resulted in significantly higher CMJ values than a rest interval of 2 min (p = 0.031). In conclusion, utilizing a 4-min rest interval irrespective of the intervention schemes may have potential for enhancing jumping performance among highly trained karate athletes.

Many domains now leverage the benefits of Machine Learning (ML), which promises solutions that can autonomously learn to solve complex tasks by training over some data. Unfortunately, in cyberthreat detection, high-quality data is hard to come by. Moreover, for some specific applications of ML, such data must be labeled by human operators. Many works "assume" that labeling is tough/challenging/costly in cyberthreat detection, thereby proposing solutions to address such a hurdle. Yet, we found no work that specifically addresses the process of labeling from the viewpoint of ML security practitioners. This is a problem: to this date, it is still mostly unknown how labeling is done in practice---thereby preventing one from pinpointing "what is needed" in the real world. In this paper, we take the first step to build a bridge between academic research and security practice in the context of data labeling. First, we reach out to five subject matter experts and carry out open interviews to identify pain points in their labeling routines. Then, by using our findings as a scaffold, we conduct a user study with 13 practitioners from large security companies and ask detailed questions on subjects such as active learning, costs of labeling, and revision of labels. Finally, we perform proof-of-concept experiments addressing labeling-related aspects in cyberthreat detection that are sometimes overlooked in research. Altogether, our contributions and recommendations serve as a stepping stone to future endeavors aimed at improving the quality and robustness of ML-driven security systems. We release our resources.

Introduction: Teachers in Bosnia and Herzegovina had insufficient skills in educational technology but had to lead the introduction of online teaching and adapt all aspects of the educational process to the online environment, which placed a great burden on them. The main objective of this research was to identify the challenges faced by teachers during the lockdown period. The sudden shift to online teaching, lack of preparation, and social isolation resulted in significant changes in job demands, perceived control, and social support in the workplace. Methods: A correlational study was conducted with a sample of 345 employees in the education sector in Bosnia and Herzegovina. Descriptive analysis, multiple regression analysis, and t-tests were performed using SPSS version 20.0. Results: The results indicate that teachers who did not have adequate workspace at home experienced greater workload but remained highly motivated. High job demands and low social support at work are associated with increased stress and decreased psychophysical functioning, while higher social support is associated with higher life satisfaction. In addition, higher job demands and stronger social support were related to greater intrinsic and extrinsic motivation at work. Conclusion: Results show that teachers lacking proper home workspaces reported their work as notably more demanding and stress-inducing, with a reported decline in their overall psychophysical well-being. Moreover, they expressed a reduced sense of control over their work, diminished social support, and lower levels of life satisfaction. These findings provide a valuable foundation for developing recommendations to address crisis situations in education, particularly when teachers transition from physical classrooms to virtual spaces, which is also important for online teaching and learning in typical times.

As part of the research, the population of the eight-toothed spruce bark beetle in different types of forests in five protected areas in Bosnia and Herzegovina was analyzed. The study focused on the protected areas of Sarajevo Canton, specifically the secondary forests of fir and spruce, as well as the mixed forests of beech and fir (containing spruce). Pheromone traps were used as the research sample, and they were placed within PA Bijambara, PA Trebević, and PA Skakavac. The objective was to investigate the influence of forest type and climatological factors on the number of captured Ips typographus bark beetles from 2018 to 2021. The average number of captured I. typographus bark beetles during that period ranged from 491.39 to 901.68 individuals in secondary fir and spruce forests, and from 201.88 to 701.54 individuals in beech and fir forests (including spruce).

Introduction: Basal cell carcinoma is the most common non melanoma skin cancer. It accounts for approximately 80% of all skin cancers. Case report: We presented a 62-year-old patient with a giant, deeply infiltrative, destructive lesion of the head which lasted for 15 years. Microbiological analysis showed contamination, computed tomography (CT) scan showed deep infiltration and bone destruction. The risks of operative treatment were numerous. The treatment was more complicated by infection, infiltrative spreading and the patient's comorbidity. Regardless, we decided on a wide surgical resection with pathohistological evaluation of the resection margins. The patient denied oncological treatment. After 10 years, there were no recurrent tumours. Conclusion: Aggressive surgical treatment is the treatment of choice for giant basal cell carcinoma. In the case of giant locally aggressive and advanced neoplasms, when surgery is not appropriate or not possible, medical treatment becomes oncological.

Background : Acute abdomen (AA) is a synonym for a condition caused by an acute disease of an intra-abdominal organ that requires urgent surgical intervention. The gynecological-obstetrical etiopathogenesis of AA is based on pathological events on the genital organs due to hemorrhagic, inflammatory, and ischemic/obstructive genesis, and is a significant reason for admission to emergency gynecological departments, and emergency surgery. Methods : A retrospective clinical research was performed from 2005 to 2021, from the surgical protocol of the University Department for Gynecology and Obstetrics, Clinical Hospital “Sveti Duh” in Zagreb. In the examined sixteen-year period, 703 patients (4.06%) had surgery with a diagnosis of AA. Results : The largest number of surgeries due to AA was performed in the age group of 21–45 years (74.40%), i.e., in the reproductive age, followed by 106 patients aged 46–52 years (15.07%), then 46 (6.54%) patients in children and adolescent age up to 20 years of age, then from 53–60 years 23 (3.27%) patients, and in the elderly > 60 years old, with 5 (0.71%) patients. The etiopathogenetic factors of AA were: the most common intra-abdominal hemorrhage in 68.14%, followed by inflammation and the most common complications of pelvic inflammatory disease in 25.60%, ischemic-obstructive causes in 2.56% and other causes in 3.7%. Out of the total number of surgeries, 450 (64.01%) were due to ectopic tubal pregnancy. Out of the total number of surgeries, 549 (78.09%) were performed (completed) by laparoscopy procedures, and by laparotomy and/or relaparotomy in 154 cases (21.90%). Regarding laparoscopy, 93.48% was performed in the age group up to 20 years, 83.56% in the age group of 21–45 years, and 62.26% was performed in the age group of 46–52 years. Regarding laparotomy, 69.57% was performed in patients aged 53–60 years, and 100% in the age group of patients > 60 years. A pathological substrate was found for all operated patients, which they undergo for surgery, and we had no cases in which we did not prove a perioperative or pathohistological reason for AA. There were no patients’ deaths in the current study, which had to undergo for surgery for AA. Conclusions : We emphasize the urgent need for proper and continuous education of hospital teams, as well as extra-hospital emergency teams in recognizing AA symptoms of gynecological genesis based on history, clinical palpation examination, and ultrasound examination as a fundamental triad in the diagnosis of this life-threatening condition that requires only surgical treatment.

Abstract The servitization literature has explored the role that product modularity plays in supporting service design and delivery. Importantly, product modularity has the potential to aid manufacturers in providing customised solutions on a larger scale, thereby strengthening firm performance. However, despite the prospective benefits of product modularity, manufacturers also need considerable servitization depth, which comprises service orientation, resources, and delivery systems, to provide services in a cost-effective manner. Taking this into account, the study both theoretically articulates and empirically tests relationships among product modularity, servitization depth, service types, and firm performance, employing a moderated mediation model. Using survey data collected from 204 manufacturers in the UK and German, the findings indicate that product modularity exerts a positive influence on firm performance, with servitization depth acting as a mediating factor. The mediation effect of servitization depth on the correlation between product modularity and firm performance was found to fluctuate based on the service types offered by the manufacturer. This study adds to the existing literature on servitization and the role of product modularity and servitization depth in achieving superior firm performance.

For prosthetic hybrid restorations on implants, different combinations of materials are used, from metal alloys, titanium, ceramics, polymers or composites. The aim of this paper is to summarize the char- acteristics and advantages of certain polymers in the production of hybrid restorations, as well as to present the protocol for treating patients with this type of restoration. Polymers based on poly-ether-ether-ketone have gained great popularity and success in the field of implant-prosthetic therapy. Among them, the most famous high-performance polymers developed by Bredent (Bredent group, Senden Germany) are BioHPP (containing 20% ceramic fillers) and breCAM.HIPC (highly cross-linked polymer composite material). Both polymers are machinable and are used to make temporary and permanent resaturations in prosthetics. They are biocompatible and non-allergenic, do not contain metal, oxide and monomer components, and also do not discolor the gingiva. They are characterized by excellent workability and elasticity, which is greater than zirconium ceramics and metal alloys, different shades of color is characteristics for breCAM. HIPC, unlike BioHPP, which is monolithic and monochromatic. Due to their characteristics, these high-per- formance polymers can be exceptional “allies” for the restorations on implants.

Insertion/deletion polymorphism of the angiotensin converting enzyme (ACE) gene is a key component of the Renin-Angiotensin-Aldosterone System (RAAS). It has been proposed as an independent factor for hypertension and other cardiovascular diseases. Consequently, it has been extensively studied in various populations. The aim of this study is to investigate I/D polymorphism of ACE gene and its connection to hypertension in population of Tuzla Canton (Bosnia & Herzegovina). The study included 60 hypertensive subjects and 60 healthy control subjects with no risk factors for hypertension. I/D polymorphism was genotyped by polymerase chain reaction followed by gel electrophoresis and data obtained were statistically analysed using Chi square test. Odd’s ratios were calculated with a 95% confidence interval. P-value < 0.05 was considered significant. Odd’s ratios were calculated with a 95% confidence interval. P-value <0.05 was considered significant. Higher frequency of genotype D/D and allele D was determined in subjects with hypertension compared to control subjects but there is no statistical significance (p>0.05). However, statistically significant association was found in compared groups of subjects with genotypes DD + ID, in regards to genotype I/I (p<0.05). The results indicate the conclusion that ACE I/D polymorphism cannot be considered the main risk factor for development of hypertension, but its influence should be investigated together with other genetic and acquired risk factors that are associated with hypertension. This research contributes to the on-going exploration of molecular-genetic associations with hypertension.

This study investigates the influence of ultraviolet (UV) radiation on the mechanical properties of Fused Deposition Modeling (FDM) 3D printed materials, specifically polycarbonate (PC) and polylactic acid (PLA) specimens. The research involves conducting experiments on five test specimens of each material exposed to UV radiation and comparing their mechanical properties to those of five control specimens that remain unexposed. The results reveal a significant mean difference between the mechanical properties of the control and UV-exposed materials. UV radiation caused a decrease in tensile strength for the PC material, while the PLA material exhibited an increase in tensile strength. The impact of UV radiation on PLA was more substantial compared to PC. Flexural strength testing showed an enhancement in strength for the UV-treated materials, with UV treatment having a greater influence on the flexural strength of PLA compared to PC. The mechanical properties of PLA were more significantly impacted by UV radiation than those of PC. The study findings suggest that PC and PLA materials exhibit different responses to UV exposure, which may have implications for their practical applications. Further research is needed to fully understand the underlying mechanisms governing these divergent responses and to optimize the performance of each material under UV radiation.

Sitagliptin, an anti-diabetic drug, is a dipeptidyl peptidase (DPP)-4/CD26 inhibitor with additional anti-inflammatory and immunomodulatory properties. In this study, we investigated for the first time the effect of sitagliptin on the differentiation and functions of human dendritic cells generated from monocytes (MoDCs) for 4 days using the standard GM-CSF/IL-4 procedure. LPS/IFN-γ treatment for an additional 24 h was used for maturation induction of MoDCs. Sitagliptin was added at the highest non-cytotoxic concentration (500 µg/mL) either at the beginning (sita 0d protocol) or after MoDC differentiation (sita 4d protocol). Sitagliptin impaired differentiation and maturation of MoDCs as judged with the lower expression of CD40, CD83, CD86, NLRP3, and HLA-DR, retention of CD14 expression, and inhibited production of IL-β, IL-12p70, IL-23, and IL-27. In contrast, the expression of CD26, tolerogenic DC markers (ILT4 and IDO1), and production of immunoregulatory cytokines (IL-10 and TGF-β) were increased. Generally, the sita 0d protocol was more efficient. Sitagliptin-treated MoDCs were poorer allostimulators of T-cells in MoDC/T-cell co-culture and inhibited Th1 and Th17 but augmented Th2 and Treg responses. Tolerogenic properties of sitagliptin-treated MoDCs were additionally confirmed by an increased frequency of CD4+CD25+CD127- FoxP3+ Tregs and Tr1 cells (CD4+IL-10+FoxP3-) in MoDC/T-cell co-culture. The differentiation of IL-10+ and TGF-β+ Tregs depended on the sitagliptin protocol used. A Western blot analysis showed that sitagliptin inhibited p65 expression of NF-kB and p38MAPK during the maturation of MoDCs. In conclusion, sitagliptin induces differentiation of tolerogenic DCs, and the effect is important when considering sitagliptin for treating autoimmune diseases and allotransplant rejection.

Recently, the necessity of video testing at the point of reception has become a challenge for video distributors. This paper presents a new system framework for managing the quality of video degradation detection. The system is based on objective video quality assessment metrics and unsupervised machine learning techniques that use the dimensionality reduction of time series. It was demonstrated that it is possible to detect anomalies in the video during video streaming in soft real time. In addition, the model discovers degradations based on the visible correlation between adjacent images in the video sequence regardless the quick or slow change of a scene in the sequence. With additional hardware manipulations on the equipment on the user side, the proposed solution can be used in practical implementations where the need for monitoring possible degradations during video streaming exists.

This study evaluated the eco-efficiency of rainfed and irrigated maize production in Bosnia and Herzegovina. Environmental impact assessments were performed through energy analysis, carbon footprint, and water scarcity footprint analysis. For economic analysis, gross and net returns and benefit–cost ratios were calculated. Eco-efficiency was measured by the ratio between the net return and environmental criteria. The findings indicate that transition from rainfed to irrigated maize cultivation per unit of land results in a 53.7% higher yield and gross value of production, but also a 69.8% increase in energy input, a 22% rise in greenhouse gas emissions, and a 3.6fold increase in the water scarcity footprint. While a positive link exists in irrigated maize between higher yield and lower carbon footprint per unit of product, rainfed systems outperform in energy efficiency, productivity, profitability, water scarcity footprint, and overall eco-efficiency. Both systems rely heavily on nonrenewable energy sources, with fertilization (energy and carbon footprint), mechanization (carbon footprint), and irrigation (water scarcity) as the main contributors to the negative environmental impacts. The implementation of optimization strategies for these inputs is of paramount importance to reduce environmental impacts and promote sustainability in maize farming in Bosnia and Herzegovina.