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Publikacije (46719)

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A. Maric, Pamela Njemcevic

Geometry-based stochastic channel models with differently distributed scatterers within elliptical-shaped scattering region, become more and more popular due to their applicability for modeling different propagation scenarios in the emerging 5G networks. However, to date, their spatial and temporal characteristics are usually provided in integral forms, which are not appropriate for analytical manipulations. In this paper, it is shown that the azimuthal angles of arrival and departure for elliptical (two-dimensional) and ellipsoidal (three-dimensional) channel models, with (non)uniformly distributed scatterers and arbitrary chosen positions of the transmitter and the receiver, has the same statistics as N-dimensional channel model with homogeneously distributed scatterers within hyperellipsoidal-shaped scattering region. Thus, the azimuthal angle distributions of N-dimensional channel model with homogeneously distributed scatterers within hyperellipsoidal-shaped scattering region are derived as closed-form expressions, providing for the first time in literature the azimuthal angles of arrival and departure distributions for various existing elliptical-shaped geometry-based stochastic channel models and for a whole new class of 2-D and 3-D channel models with nonuniformly distributed scatterers.

Nika Požun, D. Perko, V. Anastasovska, Ivo Barić, M. Baša, T. Battelino, Iva Bilandžija, Ian Brincat et al.

Newborn screening (NBS) is a well-established public health program that enables early detection and treatment of rare disorders in newborns, preventing severe complications or death. Despite its recognized importance, the scope and implementation of NBS programs vary across Southeastern (SE) and Central Europe. This study aimed to evaluate the current status of NBS in 16 countries of SE and Central Europe and assess progress since the previous survey in 2021. A structured questionnaire was distributed to national experts between April and December 2025, collecting data on program organization, coverage, diseases included, laboratory methods, confirmatory testing, consent practices, and future expansion plans. All countries reported universal screening for congenital hypothyroidism, except Kosovo, where a national NBS is in the process of being established. Expanded NBS using tandem mass spectrometry was available in Austria, Bulgaria, Croatia, Cyprus, Greece, Hungary, North Macedonia, Romania, and Slovenia. Spinal muscular atrophy screening became universal in Austria, Croatia, Hungary, Serbia, and Slovenia. Most countries reported plans for further expansion, with congenital adrenal hyperplasia, severe combined immunodeficiency, spinal muscular atrophy, and cystic fibrosis being the most frequently targeted conditions. Although notable infrastructural progress has been achieved, financial constraints, lack of staff, and organizational barriers remain key challenges. The study’s assessment of program effectiveness was further limited by the absence of region-wide systems for capturing end-to-end performance indicators, such as the age of the infant at treatment initiation or missed cases. Regional collaboration and adoption of best practices are therefore vital to ensure equitable access and continuous advancement of NBS programs.

Jahnavi Aluri, Amy Gaviglio, Isaac Kistler, Dianne Webster, A. Pham-Huy, Monica Lawrence, Joyce E. Yu, Jovanka King et al.

BACKGROUND Newborn screening (NBS) for severe combined immunodeficiency (SCID) using T cell receptor excision circles (TREC) in dried blood spots (DBS) has been implemented in the U.S. and many other regions and countries globally. The Clinical Immunology Society (CIS) and the Association of Public Health Laboratories (APHL) jointly formed the SCID Harmonization Initiative to facilitate comparison of NBS reporting practices to promote global consensus and collaboration. OBJECTIVE To assess current NBS SCID practices using a global survey and to report the findings from the Phase 1 component. METHODS An eighteen-question survey was distributed to all known SCID screening programs worldwide. Only one response per region was analyzed. Examples of international screening algorithms were also solicited and included. RESULTS A total of 200 responses were received, of which eighty responses were unique and used for further analysis. Of the 39 non-U.S. countries, 15 (38%) reported national universal screening, and 24 (62%) reported regional, pilot, or other screening. Additional questions pertained to methodology and reporting with particular emphasis on communication of the clinical urgency of an abnormal TREC result. CONCLUSIONS This global survey confirmed that the approach to NBS SCID varies widely, underscoring the need for harmonization at multiple steps, particularly for reporting and interpretation. This is the first study to capture global NBS SCID practices, and these findings provide the basis for creation of a Phase 2 consensus reporting framework, which will be developed by the same SCID Harmonization Committee that created the current study.

N. Marković, Maša Petrović, Silvana Babić, Milovan Bojic, B. Milovanović

Background/Objectives: Heart rate variability (HRV) is a non-invasive marker of autonomic nervous system function with established prognostic value after acute coronary syndrome (ACS). The clinical relevance of temporal changes in short-term HRV remains insufficiently defined. This study evaluated short-term HRV dynamics and their association with mortality after ACS. Methods: This retrospective–prospective study included 230 patients with acute myocardial infarction. Five-minute resting ECG recordings were obtained on day 1 and day 21. Time- and frequency-domain HRV parameters were analyzed, and delta values were calculated. The primary endpoint was overall mortality. Survival was assessed using Kaplan–Meier analysis and Cox regression. Results: Patients who died during follow-up had lower HRV values on day 21 and more pronounced declines in selected parameters. In multivariable analysis, decreased ΔLF and shorter RR intervals independently predicted overall mortality. Conclusions: Short-term HRV provides a practical bedside assessment of autonomic function after ACS. Unfavorable temporal changes likely reflect persistent autonomic imbalance and may offer additional prognostic insight. Larger contemporary studies are needed to confirm these findings.

M. Farkić, N. Marković, Valentina Balint, Maša Petrović, Milovan Bojic, B. Milovanović

Background/Objectives: Aortic stenosis is associated with autonomic nervous system (ANS) imbalance, while diabetes mellitus is a major contributor to cardiac autonomic neuropathy. Their coexistence may result in more pronounced autonomic dysfunction not fully captured by conventional assessment. This study aimed to compare ANS function in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement (TAVR), according to diabetes status. Methods: This cross-sectional study included 74 patients with severe aortic stenosis referred for TAVR, including 21 patients with diabetes mellitus. Autonomic function was evaluated using non-invasive ECG-based analysis, incorporating short-term and 24 h Holter-derived heart rate variability (HRV), nonlinear Poincaré plot indices, and deceleration and acceleration capacity. Ambulatory blood pressure monitoring and standard clinical and echocardiographic assessment were performed. Results: Patients with diabetes mellitus demonstrated significantly lower long-term HRV parameters and reduced nonlinear Poincaré plot indices compared with non-diabetic patients, indicating altered autonomic modulation. Short-term HRV showed similar trends without statistical significance. Echocardiographic severity of aortic stenosis and left ventricular systolic function were comparable between groups. Conclusions: Autonomic dysfunction appears to be more pronounced in patients with severe aortic stenosis and diabetes mellitus, predominantly affecting parasympathetic modulation. ECG-derived autonomic parameters may offer complementary insight into ANS involvement in this population and warrant further investigation.

S. Šabanagić-Hajrić, Nevena Mahmutbegović, Amar Hadzagic, Elhana Maric, Merima Unkic, Amina Zorlak-Čavčić

Objective This study aimed to examine the associations between objective functional performance tests, clinical disability, MRI lesion characteristics, and recent relapse activity with basic and instrumental activities of daily living (ADLs/IADLs) in people with multiple sclerosis (MS). Materials and methods In this cross-sectional study including 65 patients with MS, clinical disability was assessed using the Expanded Disability Status Scale (EDSS), while functional performance was evaluated with the Timed 25-Foot Walk test (T25FW) and the 9-Hole Peg Test (9-HPT). Functional independence was assessed using the Barthel Index for basic ADL and the Lawton IADL scale. MRI lesion characteristics and relapse activity during the preceding two years were recorded. Associations were analyzed using Spearman correlation and multivariable linear regression models. Results Higher EDSS scores and worse T25FW and 9-HPT performance were associated with lower Barthel and IADL scores. In adjusted models, T25FW remained independently associated with basic ADL, while non-dominant hand 9-HPT was the strongest independent predictor of IADL; EDSS showed a weaker independent association with IADL. MRI lesion variables and recent relapse activity were not independently associated with functional independence. Conclusions Simple performance-based measures of gait speed and upper limb dexterity are strongly associated with real-life functional independence in MS and may contribute to a more comprehensive functional assessment in routine clinical practice.

S. Šabanagić-Hajrić, Nevena Mahmutbegović, E. Hasanbegovic, Adnan Al-Tawil, Amina Al-Tawil, Denijal Mukinovic

Introduction: Stroke is a leading cause of long-term disability, and early functional prognostication is essential for individualized rehabilitation planning. Objective: The objective of the study is to examine the association between bedside motor and dexterity tests and standard outcome measures, and to evaluate their predictive value for functional independence in post-stroke patients. Materials and methods: This observational study was conducted at the Neurology Clinic, University Clinical Center Sarajevo, Sarajevo, Bosnia and Herzegovina, and included 61 patients with either ischemic or hemorrhagic stroke. Sociodemographic and clinical data were collected. Bedside functional assessments comprised the National Institutes of Health Stroke Scale (NIHSS), the Motor Assessment Scale (MAS), the Nine-Hole Peg Test (9-HPT) for upper limb dexterity, and the Berg Balance Scale (BBS). Functional outcomes were evaluated using the Barthel Index and the modified Rankin Scale (mRS) at admission and discharge. Associations between bedside assessments and functional outcomes were analyzed using correlation analyses, and independent predictors of functional independence were identified using multivariable linear regression models. Results: The mean age of participants was 74.8 ± 5.5 years, and 73.8% had ischemic stroke. Functional independence improved during hospitalization, with the Barthel Index increasing from 65.3 ± 22.9 at admission to 72.1 ± 26.5 at discharge. In multivariable regression analysis, the MAS emerged as the strongest independent predictor of functional independence measured by the Barthel Index (R² = 0.88, β = 1.49; p < 0.001). Performance on the 9-HPT using the non-dominant hand provided additional independent predictive value (β = -0.28; p = 0.048), while dominant-hand dexterity and balance performance were not significant predictors in the adjusted model. Conclusions: Simple bedside motor and dexterity assessments provide clinically relevant prognostic information in the early post-stroke phase. Their integration into routine clinical practice may enhance functional prognostication and support individualized rehabilitation strategies.

Justine Barbot, Hee Eng Gek, Wilson Entalai Thomas Akin, Markus Peller, S. Franca, K. Bernert, H. Mähne, D. Lehninger et al.

Ferroelectric Capacitors (FeCAPs) based on HfZrO2 (HZO) are promising building blocks for ferroelectric (FE) Non-Volatile Memories (NVM). In this work, we investigate for the first time the deposition of FE HZO on top of epitaxial Cobalt Silicide (CoSi2), a mainstream CMOS material. While no systematic study exists on this combination, our preliminary results demonstrate the crystallization of the FE phase in HZO on CoSi2 and suggest pathways to improve FE performance to that of the reference stack TiN/HZO/TiN reported in this study and widely used in the literature.

Omar A. Ibrahim, Henri Trang, Qianlan Chen, Lara Zimmermann, Alexander U. Brandt, T. Usnich, S. Magon, M. Barakovic et al.

Highlights • Deep learning improved thalamus segmentation in multiple sclerosis brain scans.• Atlas based methods overestimated thalamus volume despite spatial overlap.• Voxel overlap and volume accuracy diverged across segmentation tools.• Quantitative magnetic resonance maps modestly improved disability associations.

F. Seilitz, A. A. Musse, Nathalie Struwe, Andi Alijagic, A. Kärrman, Arslan Hashmi, Thanh Wang, Magnus Engwall et al.

This study applied a virtual effect-directed analysis (vEDA) approach, integrating effect-based analysis and chemical screening, to identify bioactive compounds in rubber infill from artificial turf. Bioreporter assays targeting diverse toxicological endpoints were selected to detect a wide range of potential endocrine-disrupting and genotoxic compounds. Of 21 samples, all except one showed aryl-hydrocarbon receptor (AhR) activity (14-31,400 ng benzo[a]pyrene equivalents/g), four induced p53 activity (0.04-0.86 µg actinomycin D equivalents/g) and two showed estrogen receptor α (ERα) activity (530 and 1020 pg estradiol equivalents/g). Chemical analysis quantified up to 87 polycyclic aromatic compounds (PAC) and gas chromatography high-resolution mass spectrometry-based suspect screening yielded 281 tentative identifications. Annotation with bioassay activity data from databases and predictive models revealed 29 AhR-, 32 ERα- and 18 p53-active compounds. Univariate analysis was used to prioritize compounds for further chemical and toxicological confirmation. Eighteen AhR agonists were confirmed, contributing 0-98% to the observed AhR activity in the samples. Phenylamine additives, detected at high concentrations, exhibited low AhR activating potency and contributed < 1%. In contrast, methylated chrysene isomers elicited relatively high potencies and contributed substantially (≤65%) to the observed AhR activity. N-Isopropyl-N'-phenyl-p-phenylenediamine (IPPD) was confirmed as p53 active and explained ∼50% of the observed activity in the most p53-active sample. Styrene-butadiene rubber (SBR) showed higher AhR- and p53 activities and concentrations of quantified compounds than the alternative materials. The study highlights differences in chemical hazards among rubber infill materials and demonstrates the utility of vEDA as an early-warning tool for identifying compounds of concern.

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