The Tracking Cancer Evolution Through Therapy (TRACERx) program represents the most comprehensive effort to characterize tumor evolution in real time. Through longitudinal, multiregion, and multiomic profiling of tumors—and particularly of non-small-cell lung cancer and clear cell renal cell carcinoma—TRACERx has illuminated the dynamic interplay between genetic, nongenetic, and (micro)environmental factors that drive cancer progression, immune evasion, and therapeutic resistance. A central insight from TRACERx has been that not all tumor evolution is genomic: Transcriptomic diversity, epigenetic alterations, RNA editing, and changes in cell–cell interactions also drive adaptation. Methodological innovations—including tumor-informed and ultrasensitive circulating tumor DNA assays, representative sequencing, and integrative immune–genomic analyses—have yielded biomarkers resistant to sampling bias and/or predictive of recurrence, metastasis, and treatment response. By demonstrating that intratumor heterogeneity is a key determinant of clinical outcome and revealing its molecular, transcriptional, and ecosystem-level drivers, TRACERx has established a framework for linking evolutionary dynamics to patient care. As both a scientific framework and a clinical paradigm, TRACERx demonstrates how adaptive, iterative research can refine evolutionary models, improve patient risk stratification, and inspire next-generation cancer evolution studies across malignancies.
Purpose: To emphasize the diagnostic role of magnetic resonance imaging (MRI) in identifying Fitz-Hugh–Curtis syndrome (FHCS) in an adolescent patient with a subtleclinical presentation. Methods: A 17-year-old female presented with acute onset right upper quadrant and right shoulder pain. The initial diagnostic workup, including ultrasound (US), computedtomography (CT), and laboratory testing was inconclusive. Due to persistent symptoms and elevated inflammatory markers, MRI of the abdomen and pelvis was subsequentlyperformed. Results: MRI demonstrated a bilateral pyosalpinx with restricted diffusion, free fluid in the pelvis and subhepatic region, and linear adhesions between the hepatic capsule and peritoneum, which was consistentwith pelvic inflammatory disease (PID) complicated by FHCS. Microbiologic analysis confirmed a Chlamydia trachomatis infection. The patient received targeted antibiotic therapy with clinical improvement. Conclusion: FHCS represents a rare but importantcomplication of PID that may present with non-specificor extra-pelvic symptoms. MRI is the modality of choicefor confirming PID-related complications and perihepatic inflammation, offering high sensitivity and the advantage of radiation-free imaging, which is especially relevant in the adolescent population.
Background: The symptoms of COPD differ based on the stage of the disease, becoming more noticeable in its severe stages and during exacerbations. They are associated with temporary incapacity for work and cause a decrease in working capacity. Also, occupations with special working conditions and exposure to pollutants at work cause increased bronchial secretion and cough. This research aims to identify the most common symptoms in COPD patients and evaluate their work capacity based on symptom prevalence. Methods: 200 subjects were included in the prospective study. Participants were divided into two groups: a study group and a control group. Within each group, subgroups were created based on smoking habits, a key risk factor for COPD development. Results: The dominant symptom in both groups was cough, with 34.67%. In subjects with preserved working capacity, the most common symptoms are chest pressure with 13.33% and shortness of breath with 9.33%, while in the group with reduced working capacity, fatigue (30%) and dyspnea with 26%. In the control group, most subjects had obstructive bronchitis, asthma and chronic simplex bronchitis. Conclusion: According to the GOLD classification, modified working capacity decreased by 51.33%, while retained working capacity declined by 48.67% in relation to disease severity. Cough was the dominant symptom in both groups, while other symptoms varied independently of the stage of the disease.
Dear editor,We would like to express our sincere gratitude for the attention given to our published scientific paper, as well as for the positive comments, valuable suggestions, and thoughtful questions in the Comment on the article by Bajpai. We consider his contribution extremely important for improving the quality of future research in this field.
Background: A doubt that occupational medicine specialists face is whether exposure to solvents is an independent risk factor for non-alcoholic fatty liver disease. Aim: The present study investigates the connection between the length of work experience (exposure) at workplaces that are exposed to organic volatile substances with eventual changes in the morphological structure of the liver parenchyma or laboratory parameters of liver function, and to investigate whether organic volatile substances, as an independent factor can lead to liver steatosis or changes in laboratory parameters of liver function. Methods: A prospective study was conducted from January to April 2023. and included 62 coke industry workers who were divided into two groups of 31 workers each (experimental with workers exposed to organic volatile substances at the workplace and control with workers who were not exposed). Laboratory parameters of liver function were monitored, as well as ultrasound findings of liver parenchyma in coke industry workers undergoing examination. Exclusion criteria were known history of liver disease, blood transfusion, alcohol consumption and diabetes mellitus. Results: Changes in laboratory parameters of liver function and ultrasound findings of liver steatosis were found with high statistical significance in the workers of the experimental group, for which no statistically significant association with elevated values of lipid status was found. With diabetes as an exclusion factor and the insignificant prevalence of hypertension in the examined workers, it can be concluded that metabolic syndrome is not related to our results. During the correlation analysis, it can be concluded that organic volatile substances are an independent cause and trigger for fatty infiltration of the liver parenchyma and changes in the laboratory findings of liver function parameters. Conclusions: Exposure to organic volatile substances at the workplace as an independent factor causes liver steatosis with elevated values of laboratory parameters of liver function and it can be said that it is an independent cause of non-alcoholic fatty liver disease.
Understanding how water-quality models perform across different hydrological and biogeochemical contexts is essential for managing nutrient losses in agricultural catchments. This study evaluated SimplyP, a parsimonious phosphorus model, adapted to better represent Irish agricultural catchments and implemented within the flexible Mobius2 framework. Long-term, high-frequency monitoring data from the Agricultural Catchments Programme (ACP) were used for two sites: Ballycanew, a grassland catchment dominated by surface runoff, and Castledockrell, an arable, groundwater-driven catchment. Model calibration and validation were performed for streamflow (Q), suspended sediment (SS), and multiple phosphorus (P) fractions, with performance assessed using Kling–Gupta efficiency (KGE). In Ballycanew, the model reproduced Q, SS, and total P load well, with weaker agreement for total reactive phosphorus (TRP), likely reflecting unaccounted point sources during low flows. In Castledockrell, performance was moderate for Q and SS, but TRP and other P fractions were not adequately captured, highlighting the need for more detailed representation of subsurface P pathways in groundwater-dominated systems. Overall, SimplyP is well-suited to surface-runoff-dominated catchments with conventional phosphorus mobilisation. Its flexible implementation in Mobius2 allows relatively straightforward modifications, such as including groundwater-mediated P processes, to extend applicability to more complex systems. High-resolution ACP datasets were crucial for identifying model strengths and limitations, supporting refinement for improved nutrient management across diverse agricultural landscapes.
Introduction. Obesity is a significant public health issue and a prevalent preventable nutritional disor- der. It can result from hereditary factors, prenatal conditions, environmental influences, metabolism, and lifestyle choices. This condition leads to an accu- mulation of adipose tissue and increased body mass.Aim. This study aimed to identify participants’ life- style habits, determine their nutritional status, and assess potential predictors of obesity.Methods. The cross-sectional study included 354 students from the Sarajevo High School of Medicine, of whom 236 (approximately 70%) were female. Par- ticipants were aged 14 to 18 years, with a mean age of 16.32 ± 1.74 years. The study involved collecting anthropometric data from physical education class records and administering a structured questionnaire (socio-demographic characteristics and assessment of life habits) designed for this study.Results. It was found that approximately one quarter of the subjects were overweight/obese. Unhealthy eating habits were prevalent, with around 50% of re- spondents consuming fruits and vegetables every day, 80% consuming sugar-sweetened beverages, snacks and fast food. The Pearson correlation test and linear regression determined that inappropriate eating hab- its, lack of physical activity and pronounced sedentary habits significantly affect the occurrence of excessive body mass/obesity in the subjects.Conclusion. Research shows many adolescents have unhealthy habits and obesity, which pose serious health risks. Early screening and prevention are crucial to reduce these risks and promote long-term health.
Multi-modal retrieval-augmented generation (MM-RAG) promises grounded biomedical QA, but it is unclear when to (i) convert figures/tables into text versus (ii) use optical character recognition (OCR)-free visual retrieval that returns page images and leaves interpretation to the generator. We study this trade-off in glycobiology, a visually dense domain. We built a benchmark of 120 multiple-choice questions (MCQs) from 25 papers, stratified by retrieval difficulty (easy text, medium figures/tables, hard cross-evidence). We implemented four augmentations-None, Text RAG, Multi-modal conversion, and late-interaction visual retrieval (ColPali)-using Docling parsing and Qdrant indexing. We evaluated mid-size open-source and frontier proprietary models (e.g., Gemma-3-27B-IT, GPT-4o family). Additional testing used the GPT-5 family and multiple visual retrievers (ColPali/ColQwen/ColFlor). Accuracy with Agresti-Coull 95% confidence intervals (CIs) was computed over 5 runs per configuration. With Gemma-3-27B-IT, Text and Multi-modal augmentation outperformed OCR-free retrieval (0.722-0.740 vs. 0.510 average accuracy). With GPT-4o, Multi-modal achieved 0.808, with Text 0.782 and ColPali 0.745 close behind; within-model differences were small. In follow-on experiments with the GPT-5 family, the best results with ColPali and ColFlor improved by ~2% to 0.828 in both cases. In general, across the GPT-5 family, ColPali, ColQwen, and ColFlor were statistically indistinguishable. GPT-5-nano trailed larger GPT-5 variants by roughly 8-10%. Pipeline choice is capacity-dependent: converting visuals to text lowers the reader burden and is more reliable for mid-size models, whereas OCR-free visual retrieval becomes competitive under frontier models. Among retrievers, ColFlor offers parity with heavier options at a smaller footprint, making it an efficient default when strong generators are available.
The thermal stability and structural evolution of a GaN high-electron-mobility transistor (HEMT) heterostructure grown on a Si (111) substrate were investigated using in situ high-temperature X-ray diffraction (HT-XRD), reciprocal space mapping (RSM), Raman spectroscopy, and rocking-curve (RC) analysis at varying temperatures. The heterostructure, consisting of a p-GaN cap, an AlGaN barrier, and a GaN channel supported by two AlGaN/AlGaN superlattice (SL) buffer layers, maintained clear and periodic satellite peaks up to a temperature of 1000 deg C, confirming excellent structural integrity. Symmetric and asymmetric RSM results reveal that both the Si and GaN diffraction peaks shift to lower angles with increasing temperature, consistent with thermal expansion, and show no significant broadening or relaxation throughout the heating process. The c-lattice constant follows the theoretical expansion predicted by the multi-frequency Einstein model, whereas the a-lattice expansion is slower due to in-plane strain constraints imposed by the underlying Si substrate and buffer layers. Rapid lattice contraction during the fast-cooling stage induces a residual compressive strain of approximately 0.3 percent in the GaN channel after cooling. Raman spectra further confirm this strain state through a blue shift of approximately 1.5 cm-1 of the GaN E2 (high) phonon mode, corresponding to an in-plane strain of about 0.2 percent. Rocking-curve analysis reveals an increase in both screw and edge dislocation densities by 28 percent and 12 percent, respectively. These results collectively demonstrate that the GaN HEMT heterostructure exhibits robust crystalline stability up to 1000 deg C, with only minor strain redistribution and limited dislocation activity, providing experimental evidence for GaN device applications under high-temperature conditions.
Let $X$ be an orbisurface, meaning a compact hyperbolic Riemann surface possibly with a finite number of elliptic points, and let $X_1$ denote its unit tangent bundle. We consider the twisted Selberg zeta function $Z(s;\rho)$ associated to a representation $\rho: \pi_1(X_1) \to \text{GL}(V_\rho)$. We prove a relation between the twisted Selberg zeta function $Z(s;\rho)$ and the regularized determinant of the twisted Laplacian associated to $\rho$. These results can be viewed as a generalization of a result due to Sarnak who considered the trivial character. Yet our proof is different, as it is based on evaluation of the Laplace-Mellin type integral transformations. Going further, we explicitly compute the multiplicative constant, which we call the torsion factor, and express its dependence on parameters which determine the representation. We study the asymptotic behavior of the constant for a sequence of non-unitary representations introduced by Yamaguchi and prove that the asymptotic behavior of this constant as the dimension of the representation tends to infinity is the same as the behavior of the higher-dimensional Reidemeister torsion on $X_1$ (up to an absolute constant).
U radu je istaknuta uloga Univerziteta u Sarajevu – Prirodno-matematičkoga fakulteta kao baštinske institucije i vrijednost njegova arhiva u istraživanju razvoja prirodnih i matematičkih znanosti u Bosni i Hercegovini. Posebna je pažnja posvećena vrednovanju registraturnoga (dokumentarnoga) gradiva u dijelu arhiva koji je u Studentskoj službi Prirodno-matematičkoga fakulteta uporabom elektroničkog (“automatiziranog”) sustava rada studentskih službi na Univerzitetu u Sarajevu. Dokumentacijskom i komparativnom metodom utvrđen je nestanak jednoga dijela dokumenata iz digitalnoga arhiva koji svjedoče o svakodnevnom životu Fakulteta i jednoga dijela njegove populacije, čime su oni isključeni iz društvenoga sjećanja, i čije postojanje još uvijek čuva tzv. “tiskani arhiv” Studentske službe, s gradivom u konvencionalnom, papirnatom obliku. Također, nazire se tendencija potpunoga nestanka pojedinih povijesno važnih podataka iz oba arhiva. Taj je nestanak izravna posljedica digitalne revolucije i položaja čovjeka u postdigitalnom dobu, kao i položaja arhiva Studentske službe Fakulteta i njegova utjecaja na percepciju stvarnosti i bogatstvo kulturnoga nasljeđa Bosne i Hercegovine.
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