We report a case of a 34-year-old woman diagnosed with HER2-positive breast cancer at 12 weeks of pregnancy. The oncology team opted for neoadjuvant chemotherapy while continuing the pregnancy. To exclude metastatic liver disease, CT was not feasible due to radiation risks, and liver MRI was avoided due to concerns about gadolinium deposition in the fetal basal ganglia.

Kidney failures in infants are mostly caused by congenital anomalies of the kidney and urinary tract (CAKUT), which are among the most common congenital birth disorders worldwide when paired with cardiac abnormalities. People with CAKUT often have severe kidney failure as a result of a wide range of abnormalities that can occur alone or in conjunction with other syndromic disorders. In this study, we aimed to investigate the expression pattern of CAKUT candidate genes alpha-8 integrin (ITGA8) and Van Gogh-like 2 (VANGL2) in fetal tissues of healthy and CAKUT-affected kidneys using immunohistochemistry and immunofluorescence. We found that under CAKUT circumstances, the expressions of ITGA8 and VANGL2 are changed. Additionally, we showed that VANGL2 expression is constant during fetal aging, but ITGA8 expression varies. Moreover, compared to normal healthy kidneys (CTRL), ITGA8 is poorly expressed in duplex kidneys (DKs) and dysplastic kidneys (DYS), whereas VANGL2 is substantially expressed in dysplastic kidneys (DYS) and poorly expressed in hypoplastic kidneys (HYP). These results point to VANGL2 and ITGA8 as potential prognostic indicators for CAKUT malformations. Further research is necessary to explore the molecular mechanisms underlying this differential expression of ITGA8 and VANGL2.

Our study examines the immunoexpression patterns of Megalin, Cubilin, Caveolin-1, Gipc1 and Dab2IP in the embryonic development (E) and postnatal (P) mouse kidney, with a focus on differentiating patterns between wild-type (wt) and yotari, Dab1−/− (yot) mice. Immunofluorescence revealed raised immunoexpression of receptors Megalin and Cubilin at the ampulla/collecting ducts and convoluted tubules across all developmental stages, with the most prominent immunoexpression observed in the convoluted tubules and the parietal epithelium of the Bowman’s capsule. Quantitative analysis showed a higher percentage of Megalin and Cubilin in wt compared to yot mice at E13.5. Co-expression of Megalin and Cubilin was observed at the apical membrane of convoluted tubules and the parietal layer of the Bowman’s capsule. The staining intensity of Megalin varied across developmental stages, with the strongest reactivity observed at the ampulla and collecting ducts at embryonic day (E) 13.5 in wt mice. In contrast, Caveolin-1 exhibited high immunoexpression in the metanephric mesenchyme, blood vessels, and the border area between the metanephric mesenchyme and renal vesicle, with a decrease in immunoexpression as development progressed. Gipc1 showed diffuse cytoplasmic staining in metanephric mesenchyme, convoluted tubules and collecting ducts, with significant differences in immunoexpression between wild-type and yot mice at both investigated embryonic time points. Dab2IP immunofluorescent staining was most prominent in renal vesicle/glomeruli and ampulla/collecting ducts at E13.5, with mild staining intensity observed in the distal convoluted tubules postnatally. Our findings elucidate distinct immunoexpression of patterns and potential parts of these proteins in the development and function of the kidney, highlighting the importance of further investigation into their regulatory mechanisms.

Simple Summary This study examined the skull characteristics of Holstein and Simmental cattle to provide reference values for future research. We collected 54 skulls of young male cattle from Turkey to conduct 27 measurements and calculate eight indices. Holstein skulls tended to be longer, though not markedly, but they exhibited notably longer nasal bones and shorter skull lengths. Holsteins also had wider faces. A statistical analysis showed that overall size differences did not separate the breeds, but certain skull features did. Simmental skulls had higher basal index values and wider occipital regions, likely due to their larger skull size and weight, which provides more space for muscle attachment. Holsteins had more oval-shaped eye sockets, while Simmentals had wider, rounder ones. These findings help identify breed-specific traits and offer insights into how each breed’s skull structure supports their functions. This knowledge is valuable for breeding and conservation, and future research should look into the genetic and environmental factors influencing these traits. Abstract This study aimed to reveal the morphological characteristics of pure Holstein and Simmental skulls and to obtain reference values for morphometric analysis. Moreover, 54 skulls from 12- to 14-month-old male Holstein (n = 25) and Simmental (n = 29) cattle were collected from Turkey’s Southeastern Anatolia Region between 2023 and 2024. Linear measurements indicated that Holsteins had longer skulls compared to Simmentals. Holsteins exhibited significantly higher values for the greatest length of nasals and the shortest skull length. The facial breadth was wider in Holsteins and statistically distinctive between the breeds. Holsteins had a more oval orbital bony roof, while Simmentals exhibited a wider orbital structure. The orbital index was higher in Holsteins, distinguishing between the two breeds. It was observed that Simmental cattle had a wider occipital region. This difference is likely due to the larger lateral appearance of the Simmental skull, which has more body weight and provides a larger surface area for muscle attachment. These differences not only aid in breed identification but also offer insights into the functional adaptations of each breed. Future research should explore the genetic and environmental factors contributing to these morphological traits, further enriching our knowledge of cattle morphology and its implications for breeding and conservation efforts.

This paper presents a full degrees-of-freedom (DOFs) robust control design for a nonlinear quadrotor unmanned aerial vehicle (UAV) operating under bounded disturbances. Second-order sliding modes controllers (SOSMCs) are designed so that the quadrotor UAV can follow a 3D trajectory in the presence of model uncertainties, underactuation, as well as external disturbances that may be matched or mismatched, and vanishing or nonvanishing. The stability analysis of the closed-loop system is presented via the Lyapunov method, showing the finite-time convergence of the system trajectories to the sliding surfaces, as well as the finite-time convergence of the quadrotor position and attitude to their reference values. The high-gain adaptation (HGA) method is adopted in the SOSMC technique, called SOSMC-HGA, to alleviate the chattering phenomenon. Simulation studies in different scenarios demonstrate that the SOSMC technique exhibits superior tracking performance and robustness properties compared to concurrent control methods for tracking reference trajectories of quadrotor UAVs. The simulation results confirm that SOSMC-HGA significantly attenuates the chattering phenomenon in control signals and system states, which is an important improvement, as it increases the safety of UAVs and reduces power consumption.

Objectives: The aim of this study was to determine the disturbances in the concentration of parathyroid hormone (PTH) and 25-hydroxyvitamin D (vitamin D) in patients with stable chronic obstructive pulmonary disease (COPD) and its correlation with airflow obstruction. Materials and methods: A prospective study included 200 patients with a confirmed diagnosis of COPD in the Department of Lung Diseases and Tuberculosis and Pulmonology Polyclinic of University Clinical Hospital Mostar in the period of three years, between May 2021 and May 2024. Inclusion criteria were a stable phase of COPD, hemodynamically stable patients older than 40 years, forced vital capacities in the first second (FEV1)/forced vital capacities (FVC) <0.7, and patients with PTH, vitamin D, calcium, and phosphate measurements. Exclusion criteria were acute exacerbation of COPD in the last month; current treatment with nutritional supplements, vitamins, and statins; lack of availability of lung function data; use of systemic corticosteroids in the previous three months; chronic renal insufficiency, respiratory diseases other than COPD (asthma, pneumonia, tuberculosis, and bronchiectasis), and other diseases (cancer and parathyroid disease). Medical records about demographic data (age and gender), pulmonary function test (FVC, FEV1, FEV1%FVC, mean expiratory flow (MEF)50), body mass index (BMI), COPD assessment test (CAT), Modified Medical Research Council (mMRC) Dyspnea Scale, and serum PTH, vitamin D, calcium, and phosphate levels were obtained. Results: Patients with higher COPD stage had lower spirometry values, most significantly MEF50. The higher the COPD group (Global Initiative for Chronic Obstructive Lung Disease (GOLD) D), the lower vitamin D and the higher PTH levels were. Calcium and phosphate values were the same for all groups. Vitamin D and PTH levels significantly correlated with MEF50 values. The lower MEF50 level, the higher PTH levels, and lower vitamin D levels were found (P<0.05). Conclusion: Our study showed that the patients in the higher COPD group have lower vitamin D levels and higher PTH levels, indicating that they developed secondary hyperparathyroidism. The levels of vitamin D and PTH correlated the most with MEF50 values while other spirometry parameters did not significantly correlate with vitamin D and PTH levels.

Quantum Key Distribution (QKD), a novel secret key agreement primitive, enables long-awaited practical Information-Theoretical Security (ITS). Over the last two decades, academic and industrial communities have devoted their time and resources to developing QKD- based networks that distribute ITS keys to remote parties. However, because of the limited availability of QKD network testbeds to the larger research community and the difficulty and cost of their deployment, progress in this area has been noticeably slow. To that end, we provide an analysis of selected simulated use-cases from the EU H2020 OPENQKD project using the QKDNetSim network simulator. The tool has been extensively upgraded to test novel network management methodologies applied to large-scale QKD networks.

In this case report, we describe the diagnostic modality of sinus of Valsalva aneurysm (SOVA) in combination with congenital cardiac defect, aortic valve involvement, and conduction abnormality in a 19-year-old patient. Aim of article was to understand the importance of clinicians being cautious about SOVA presenting in young patients, despite cases being rare, and that SOVA requires a thorough SOVA diagnostic approach. We further provide a review of literature highlighting and comparing the treatment options for both unruptured and ruptured SOVAs. The patient presented for examination due to tachycardia and palpitations. A murmur was heard, and the patient was found to have an atrioventricular nodal reentry tachycardia. Echocardiographic evaluation, magnetic resonance imaging, and computed tomography angiography confirmed an aneurysmally dilated aortic root, aortic regurgitation, and ventricular septal defect. Surgical intervention was indicated; however, the patient refused to undergo surgery.

Introduction: Transthyretin amyloid cardiomyopathy (ATTR-CM) can be diagnosed in the absen-ce of histology with typical echocardiographic fi ndings and skeletal scintigraphy showing grade 2 or 3 myocardial tracer uptake, when clonal plasma cell dyscrasia is excluded. Aim: To present a patient diagnosed with ATTR-CM, who was hospitalized with clinical signs of congestive heart failure. Case Report: An 84-year-old man was hospitalized with clinical signs of heart failure. Echocardiography showed concentric left ventricular hypertrophy (LVH) with reduced systolic function, along with impaired LV global longitudinal strain (GLS) with apical sparing (-9.9%). Serum and urine protein electrophoresis with immunofi xation were obtained and were negative for plasma cell dyscrasia. Bone scintigraphy showed similar radiotracer uptake in the myocar-dium and ribs (Perugini grade 2). The diagnosis of ATTR-CM was confi rmed. Conclusion: ATTR-CM is an underdiagnosed condition and should be suspected in patients with heart failure and unexplained LVH.

Post-disaster scene understanding frameworks are increasingly crucial in Search And Rescue (SAR) operations. Unmanned Aerial Vehicles (UAVs) provide an efficient means to carry out the task of scene understanding due to the higher altitudes at which they function. However, complex environments in post-disaster scenarios make it difficult for UAVs to detect humans or objects accurately. Inefficient object detection mechanisms lead to low accuracy for object detection tasks. Hence, to mitigate these issues, we propose a UAV and GAN-aided Ensemble Network (UGEN) framework for efficient ORAN-based post-disaster survivor detection. This approach deploys a Context-Conditional Generative Adversarial Network (CCGAN)-based model to remove occlusion in the images obtained from the UAVs. The UGEN framework classifies entities present in the visual scope of the UAV using a semantic segmentation framework deployed on the CCGAN-enhanced images, resulting in a pixel-level prediction of entities present in the post-disaster images. An ensemble network comprising a combination of single-stage and multi-stage detectors detects survivors present in the post-disaster scenario, thereby combining the benefits of both architectures, resulting in a reduced false negative rate and improved performance. An Open Radio Access Network (ORAN) executes data propagation between the UAV and the ground station for reduced transmission latency. The proposed model achieved a survivor detection accuracy of 96.7%.

The aim of this work is to study joining Al 2024-T3 alloy plates with different welding procedures. Aluminum alloy AA 2024-T351 is especially used in the aerospace industry. Aluminum plates are welded by the TIG and MIG fusion welding process, as well as by the solid-state welding process, friction stir welding (FSW), which has recently become very important in aluminum and alloy welding. For welding AA2024-T35 with MIG and TIG fusion processes, the filler material ER 4043—AlSi5 was chosen because of reduced cracking. Different methods were used to evaluate the quality of the produced joints, including macro- and microstructure evaluation, in addition to hardness and tensile tests. The ultimate tensile strength (UTS) of the FSW sample was found to be 80% higher than that of MIG and TIG samples. The average hardness value of the weld zone of metal for the MIG- and TIG-produced AA2024-T3511 butt joints showed a significant decrease compared to the hardness of the base metal AA2024-T351 by 50%, while for FSW joints, in the nugget zone, the hardness is about 10% lower relative to the base metal AA2024-T3511.

Background: The Harderian gland in domestic birds is a major paraocular excretory gland that has an important role in tear production as well as in the immune protection of the conjunctiva surface. Aim: The aim of this research was to investigate the arterial and venous supply of the gland in hens and provide valuable and useful information for future research. Methods: The research was conducted on 26 adult hens, provenience of Lohmann Brown. For the identification and determination of blood vessels, we used the vascular corrosion cast technique in conjunction with the transmission electron microscope (TEM). Results: The casts showed that the gland receives the arterial supply via branches of a. ophthalmotemporalis and a. nasalis communis and these arteries are accompanied by the corresponding veins. Ultrastructural analyses showed the presence of fenestrated capillaries, which indicates the possibility for permeability of larger molecules. Conclusion: The present research gives important and detailed information about the arterial and venous supply of the Harderian gland in hens that may serve as guidelines for future vascular and morphological investigations.

This paper is based on the analysis of the relationship between early education, mathematical skills, and student achievement in Bosnia & Herzegovina, using data from the trends in international mathematics and science study (TIMSS) 2019. The study involves 5,628 fourth-grade students whose average age was 10.1 years. The research specifically focuses on factors such as the age of students at the beginning of schooling, attendance at preschool institutions, and their mathematical skills before starting school. Through the application of SPSS analysis, insights into the statistical relationships and trends between these factors are provided, emphasizing the importance of early educational experiences to improve the quality of education in Bosnia & Herzegovina. The analysis results show that the length of stay in preschool institutions, attendance in preschool programs, and the early acquisition of mathematical skills (counting skills, recognition of numeral representations, numeral writing, simple addition, and subtraction) impact later mathematical achievements of students.