Abstract As smartphone use continues to become more embedded within daily life, identifying the factors driving their use in extreme environments may have numerous meaningful implications. Little is currently known about mountaineers’ intentions to use smartphones in high-alpine environments. Therefore, the purpose of this study was to examine the extent to which attitude, subjective norm, and perceived behavioral control predicted mountaineers’ intentions to use smartphones in high-alpine environments. A sample of 167 mountaineers from 37 countries completed a brief questionnaire about their intentions to use smartphones during their next high-alpine expedition. A series of multiple regression analyses were used to determine the salient beliefs influencing mountaineers’ smartphone use in high-alpine environments. The study findings provide a better understanding of the potential factors driving mountaineers’ use of smartphones. More broadly, these findings add to the growing body of literature regarding smartphone use in extreme environments.

Recent studies have established a concept of tumour necrosis factor‐α (TNF‐α)/Fas signalling crosstalk, highlighting TNF‐α as a critical cytokine in sensitizing hepatocytes to death induced by Fas activation. However, in the exact inflammatory response, besides TNF‐α, many other mediators, that might modulate apoptotic response differentially, are released. To resolve the issue, we studied the effects of lipopolysaccharide (LPS), one of the crucial inductors of inflammation in the liver, on apoptotic outcome. We show that LPS‐induced inflammation diminishes the sensitivity of hepatocytes to Fas stimulus in vivo at caspase‐8 level. Analysis of molecular mechanisms revealed an increased expression of various pro‐inflammatory cytokines in non‐parenchymal liver cells and hepatocyte‐specific increase in Bcl‐xL, associated with signal transducer and activator of transcription 3 (Stat3) phosphorylation. Pre‐treatment with ruxolitinib, a selective Janus kinase (JAK) 1/2 inhibitor, prevented the LPS‐induced Stat3 phosphorylation and restored the sensitivity of hepatocytes to Fas‐mediated apoptosis. Furthermore, ruxolitinib pre‐treatment diminished the LPS‐induced Bcl‐xL up‐regulation without an inhibitory effect on LPS‐induced expression of pro‐inflammatory cytokines. In summary, although the reports are showing that the effects of isolated pro‐inflammatory mediators, such as TNF‐α or neutrophils, are pro‐apoptotic, the overall effect of inflammatory milieu on hepatocytes in vivo is Stat3‐dependent desensitization to Fas‐mediated apoptosis.

The conditions that led to the formation of the first organisms and the ways that life originates from a lifeless chemical soup are poorly understood. The recent hypothesis of “RNA-peptide coevolution” suggests that the current close relationship between amino acids and nucleobases may well have extended to the origin of life. We now show how the interplay between these compound classes can give rise to new self-replicating molecules using a dynamic combinatorial approach. We report two strategies for the fabrication of chimeric amino acid/nucleobase self-replicating macrocycles capable of exponential growth. The first one relies on mixing nucleobase- and peptide-based building blocks, where the ligation of these two gives rise to highly specific chimeric ring structures. The second one starts from peptide nucleic acid (PNA) building blocks in which nucleobases are already linked to amino acids from the start. While previously reported nucleic acid-based self-replicating systems rely on presynthesis of (short) oligonucleotide sequences, self-replication in the present systems start from units containing only a single nucleobase. Self-replication is accompanied by self-assembly, spontaneously giving rise to an ordered one-dimensional arrangement of nucleobase nanostructures.

Contemporary living is marked by powerful presence and all present use of new technologies. We might boldly state that people might not function well without new media. We heedlessly witness large part of contemporary adolescent’s social and emotional development occurring while on the Internet and on cell phones. Many parents and caregivers today use technology incredibly well and feel comfortable and capable with the programs and online venues that their children and adolescents are using. Nevertheless, some parents and adults are concerned about adolescent’s overuse of new media due to their potential risks and negative impact on adolescent’s psycho-social development. Some parents and caregivers may find it difficult to relate to their digitally savvy youngsters online for valid reasons. Such people may lack some basic understanding of adolescents and the new forms of socialization which is happening online, which are integral to their children's lives. Adolescent’s limited capacity for self-regulation and susceptibility to peer pressure make youth particularly vulnerable and at risk for various risks as they navigate and experiment with social media. Primary aim of this paper is to shed some light on adolescent’s online behavior and choices given their physical, cognitive, emotional, social, and behavioral characteristics and discuss potential negative and positive impact of new media on youth, family and social participation.

Abstract Methadone eliminates heroin use, reduces death rates and criminality associated with heroin use, and improves patients’ health and social productivity. This study included long-term addicts who completed a methadone therapy program as well as relapsed patients. Liver and renal markers important for methadone metabolism were analyzed. Renal markers included urea and creatinine, while hepatic markers included total bilirubin, AST, ALT, γGT, and LDH as nonspecific but significant parameters of liver metabolism. The study included 34 male and 6 female heroin-dependent patients undergoing a rehabilitation program with methadone maintenance treatment (MMT). During therapy, average values of all parameters remained within the reference interval but individual parameters in some patients were very high. Significant differences for urea (0.00) and very high individual variations in all parameters, especially γGT and LDH, were found in patients who were in relapse. Age of the patients did not show a correlation with the presence of significant differences in serum biochemical parameters during therapy. Prolonged use of methadone therapy stabilizes high variations of liver and renal markers. MMT achieves a stabilization of serum indicators relevant for methadone metabolism that correlates with the duration of consumption and the type of opioid substance. The most important hepato-renal markers as indicators of therapy success are γGT, LDH, and creatinine. The validity of former enzymatic tests (AST, ALP, and ALT) should be seriously reconsidered in terms of MTT treatment success and monitoring the health of heroin addicts.

Hydrops fetalis is a serious condition indicating a bad prognosis of affected fetuses. Incidence of immune hydropsfetalis is significantly decreasing, whereas more and more non-immune hydropsfetalisis are identified. We described a case of the most difficult manifestation of hemolytic disease of a newborn due to rhesus incompatibility. Immune hydrops fetalis occurred due to inadequate immune prophylaxis. While treating the newborn, we applied exchange transfusion, additional transfusion and immunoglobulin therapy. With sensitized pregnant patients, it is necessary to regularly monitor the condition of fetus and titer of mother’s antibodies. Considering a difficulty of affected fetuses’ disease, it is necessary to strengthen preventive measures by application of rhesus immunoglobulin with affected Rh negative mothers.

A noninvasive diagnostic procedure that allows for in vivo microscopic examination of the epidermis, the dermoepidermal junction, and the papillary dermis. This aids in the identification of specific diagnostic patterns related to color and cell structure to aid in differentiating malignant and benign lesions.

Abstract Multi-criteria decision-making (MCDM) methods are very useful tools for daily decision-making in different fields. In addition, determining an acceptable solution with respect to different factors is certainly a very demanding and difficult task. In this paper, a new Measurement of Alternatives and Ranking according to COmpromise Solution (MARCOS) method for a sustainable supplier selection in the healthcare industry (in a polyclinic) in Bosnia and Herzegovina is developed. The advantages of the developed method are: the consideration of an anti-ideal and ideal solution at the very beginning of the formation of an initial matrix, closer determination of utility degree in relation to both solutions, the proposal of a new way to determine utility functions and their aggregation, the possibility to consider a large set of criteria and alternatives while maintaining the stability of the method. Supplier selection is very important for organizations in the medical industry. Sustainability in the supplier selection process in the medical industry is a strategically important issue, and poorly implemented in the private medical sector. Therefore, the example explains how to use the MARCOS method to select sustainable suppliers in the private medical sector. A case study of a sustainable supplier selection for the healthcare industry (a polyclinic) includes ranking of eight alternatives with regard to 21 criteria for all aspects of sustainability. The results and verification of the new method are carried out throughout a comprehensive sensitivity analysis. 21 scenarios with changes in the weight values of criteria were established, the measurement scale from 1 to 9 was changed to 1–5, a comparison with six other MCDM methods was performed, and it was verified in dynamic conditions which implied a change of the elements of the initial decision-making matrix. All phases of the sensitivity analysis showed the validity of MARCOS method. The obtained results and all scenarios in sensitivity analysis show that A2 remains the best alternative.

A key mutational process in cancer is structural variation, in which rearrangements delete, amplify or reorder genomic segments that range in size from kilobases to whole chromosomes1–7. Here we develop methods to group, classify and describe somatic structural variants, using data from the Pan-Cancer Analysis of Whole Genomes (PCAWG) Consortium of the International Cancer Genome Consortium (ICGC) and The Cancer Genome Atlas (TCGA), which aggregated whole-genome sequencing data from 2,658 cancers across 38 tumour types8. Sixteen signatures of structural variation emerged. Deletions have a multimodal size distribution, assort unevenly across tumour types and patients, are enriched in late-replicating regions and correlate with inversions. Tandem duplications also have a multimodal size distribution, but are enriched in early-replicating regions—as are unbalanced translocations. Replication-based mechanisms of rearrangement generate varied chromosomal structures with low-level copy-number gains and frequent inverted rearrangements. One prominent structure consists of 2–7 templates copied from distinct regions of the genome strung together within one locus. Such cycles of templated insertions correlate with tandem duplications, and—in liver cancer—frequently activate the telomerase gene TERT. A wide variety of rearrangement processes are active in cancer, which generate complex configurations of the genome upon which selection can act. Whole-genome sequencing data from more than 2,500 cancers of 38 tumour types reveal 16 signatures that can be used to classify somatic structural variants, highlighting the diversity of genomic rearrangements in cancer.

Advances in cloud computing make cloud services as an appealing solution for enabling services flexibility and availability on demand to accommodate users' needs. The terms and the guarantees of service provision are negotiated and then stated in a Service Level Agreement (SLA). To facilitate a wider acceptance of such services, beside the standard properties, security has to be taken into consideration as well. One way to facilitate this is to provide a corresponding security assurance case. For that purpose, in this work we propose to split the security service assessment between an independent third party and a service user, where the former assess a security assurance case and the latter negotiates particular security solutions implemented for a service. For the systematic part of the security process that is independently assessed, in this paper we focus on the formal realizability check of service constraints expressed within an SLA. To enable this, we formalize the check at both service design-, and run-time, needed due to frequent updates required to maintain an agreed security level. The formalization is tailored for the SLAC language specifically, which is extended to cover a proposed set of security objectives. Moreover, we use an example of an SLA expressed in terms of SLAC language, which includes security guarantees to illustrate the approach.

Aim To examine the correlation between personality traits, learning styles, and academic achievement and a difference between students' gender, residency status and academic achievement. Methods The study included 95 students of first year of the School of Medicine, University of Sarajevo. The survey used the sociodemographic questionnaire, Index of Learning Style and Big Five Inventory. Academic achievement was represented by a cumulative grade point of each student. Results There was significant difference between the students' gender, information processing style, i.e. active/reflective learning style and academic achievement. Academic achievement was correlated with extraversion (negatively), conscientiousness and active/reflexive learning style. Conclusion With this study we wanted to improve awareness of teachers about the importance and use of different styles during lecture, to show the importance of students knowing their own preferences and learning styles, and how personality traits can affect students' academic achievement. Academic performance is an important outcome for students. It can increase motivation, student participation in class and wish to volunteer in different activities.

Aim To compare the prevalence of premature rupture of membranes (PROM) and preterm premature rupture of membranes (PPROM) between adolescent and adult pregnancies, and the influence of gestational age and adolescent pregnancy on the frequency of occurrence of PROM and PPROM. Methods This prospective study included 300 pregnant patients, 13 to 35 years of age, divided into two groups. The first group consisted of 150 pregnant women aged 13-19 (experimental group) and the second group consisted of 150 pregnant women aged 20-35 (control group). Results There was a statistically significant higher incidence of both PPROM and PROM in the group of adolescent pregnant women compared to adult pregnant women (p<0.000001). Preterm delivery with PPROM was significantly more common in the group of adolescent pregnant women (p<0.004). Term delivery with PROM was statistically significantly more common in the adolescent pregnancy group than in the adult pregnancy group (p<0.001). Term delivery with PROM was statistically significantly more common than preterm delivery with PPROM in the group of adolescent pregnant women (p<0.0001). Conclusion Adolescent pregnancy has a greater impact on the frequency of PROM and PPROM.