Abstract Introduction: With advancements in sensor and communication technologies, sleep monitoring is moving out of specialized clinics and into everyday homes. Extracting sleep-related data using far less complicated tools and procedures is possible than polysomnography. Respiratory and cardiovascular data are extracted from the signals such as the electrocardiogram (ECG), photoplethysmogram (PPG), and ballistocardiogram (BCG) to identify the aberrant respiratory events of apnea/hypopnea as well as to estimate sleep parameters. However, due to the different sleeping positions, such systems lack accuracy and/or complicated sensor network topology. In this work, we proposed an optimal topology of forcesensitive resistor (FSR) sensors to simplify the system design by identifying the region of interest for estimating cardiorespiratory parameters with minimal error. The sensors are deployed under the mattress and located on the bed frame. Methods: We proposed a low-cost, unobtrusive, non-invasive, and reliable solution with robust signal processing algorithms for cardiorespiratory measurements and automatic signal validation based on signal quality. The solution is established based on a multi-physical layer (MPL) and sensor interfaces coping with the embedded system’s specifications, and signal processing is performed onboard with two independent and simultaneous pipelines for heart rate and respiratory rate using discrete wavelet transform (DWT) and bandpass filter, respectively. Results: We identified the three most contributing FSR sensors forming a triangle shape covering the left upper side of the subject (in the supine position) as the region of interest. We reduced the mean absolute error (MAE) to as low as 3.94 and 2.35 for heart rate and respiratory rate. Conclusions: The approach with the topology of triangle-shaped performs appropriately in estimating the cardiorespiratory parameters in all four regular sleeping positions, i.e. supine, prone, left lateral, and right lateral.

Indoor air quality monitoring is vital for ensuring high-quality healthcare services and minimizing the presence of harmful pollutants and environmental factors that could potentially impact on the well-being of individuals in hospitals. To address this need, the authors developed the transparent robot (TR): an integrated sensorized platform designed for indoor environmental sensing. This Internet-of-Things (IoT)-based platform serves as a modular system that can be installed on robotic platforms, enabling both static and dynamic monitoring of indoor spaces. In the context of a smart hospital, the TR can be integrated with the hospital's software architecture. It collaborates to generate a secure dataset of monitored data and can promptly notify healthcare professionals about any parameters that fall outside acceptable level. By utilizing this IoT-based device's features, hospitals can ensure a safer environment. The system's effectiveness and usability were preliminary demonstrated, showcasing its potential for further development; for instance, by incorporating additional sensors and algorithms, the TR can provide a probabilistic estimation of the likelihood of certain conditions based on the sampled environmental parameters.

Background: Left atrial (LA) myopathy with paroxysmal and permanent atrial fibrillation (AF) is frequent in chronic coronary syndromes (CCS) but sometimes occult at rest and elicited by stress. Aim: This study sought to assess LA volume and function at rest and during stress across the spectrum of AF. Methods: In a prospective, multicenter, observational study design, we enrolled 3042 patients [age = 64 ± 12; 63.8% male] with known or suspected CCS: 2749 were in sinus rhythm (SR, Group 1); 191 in SR with a history of paroxysmal AF (Group 2); and 102 were in permanent AF (Group 3). All patients underwent stress echocardiography (SE). We measured left atrial volume index (LAVI) in all patients and LA Strain reservoir phase (LASr) in a subset of 486 patients. Results: LAVI increased from Group 1 to 3, both at rest (Group 1 = 27.6 ± 12.2, Group 2 = 31.6 ± 12.9, Group 3 = 43.3 ± 19.7 mL/m2, p < 0.001) and at peak stress (Group 1 = 26.2 ± 12.0, Group 2 = 31.2 ± 12.2, Group 3 = 43.9 ± 19.4 mL/m2, p < 0.001). LASr progressively decreased from Group 1 to 3, both at rest (Group 1 = 26.0 ± 8.5%, Group 2 = 23.2 ± 11.2%, Group 3 = 8.5 ± 6.5%, p < 0.001) and at peak stress (Group 1 = 26.9 ± 10.1, Group 2 = 23.8 ± 11.0 Group 3 = 10.7 ± 8.1%, p < 0.001). Stress B-lines (≥2) were more frequent in AF (Group 1 = 29.7% vs. Group 2 = 35.5% vs. Group 3 = 57.4%, p < 0.001). Inducible ischemia was less frequent in SR (Group 1 = 16.1% vs. Group 2 = 24.7% vs. Group 3 = 24.5%, p = 0.001). Conclusions: In CCS, rest and stress LA dilation and reservoir dysfunction are often present in paroxysmal and, more so, in permanent AF and are associated with more frequent inducible ischemia and pulmonary congestion during stress.

Microbial biofilms are organized consortiums of microorganisms in the self-produced matrix, characterized by increased resistance to antimicrobial agents. Candida albicans belongs to the regular human microbiota, but it could be highly pathogenic. Essential oils (EOs) are widely distributed secondary metabolites, proven for various biological activities. The main goal of this investigation was to evaluate the antifungal and antibiofilm properties of EOs from Citrus limon (L.) Osbeck, C. reticulata Blanco, Nigella sativa L., and Foeniculum vulgare Mill. against C. albicans. Antifungal activity was evaluated through the disk diffusion method, followed by the determination of the minimum inhibitory (MIC) and minimum fungicidal concentration (MFC). Antibiofilm assays were implemented through the tissue culture plate method and determination of the biofilm inhibition. Zones of inhibition were detectable for all tested EOs, with the greatest activity of N. sativa (28.30±1.50 mm to 39.30±1.10 mm). MIC values ranged from 62.50 μg/ml (N. sativa) to 125 μg/ml (C. limon), and 250 μg/ml (C. reticulata and F. vulgare). All tested EOs performed an impact on the biofilm-forming capacity of tested yeast. The antibiofilm activity was species-specific and concentration-dependent. The highest antibiofilm activity was recorded for F. vulgare. Obtained results suggest that investigated EOs possess antifungal and antibiofilm potential.

Introduction The veterinary profession is facing various challenges in the 21st century, such as livestock production intensification, shifting distribution of infectious diseases, growing focus on food safety alongside growing demand for companion animals’ veterinary services. Information technologies and digitalization trends had driven changes in many business sectors, including providing veterinary services thus opening new avenues to overcome the existing challenges this profession is facing. Methods A study was conducted among 244 veterinary practices in Bosnia and Herzegovina. The gathered information related to subjects involving digital presence, the utilization of information technologies, and the business performance. To obtain this information, a personalized questionnaire was utilized as the means for collecting data. Results The study revealed that only 10.2% had a business-associated website, and 54.9% were present on at least one social media platform. The study suggests that a positive impact on annual profit can be achieved through the implementation of effective digital marketing strategies such as web presence, search engine optimization, Google business account existence, website Google advertisement, continuous administration of social media, and social media advertisement. The statistical analysis indicates that Google advertisements, website search engine optimization, and social media advertisements greatly affect annual profit. Discussion Improving digital presence of veterinary businesses with professionally managed websites, use of social media platforms, investment in online marketing strategies, and adopting telehealth services and online access to patient records positively affects business performance and better fits the growing needs of clients and society.

MicroRNAs (miRNAs) are important regulators of gene expression in cells. However, their application in gene therapy is limited by obstacles such as poor cellular uptake and instability (Mendonça et al., 2023). To overcome these limitations, cationic nanostructured lipid carriers (cNLCs) as delivery systems for miRNAs are developed. cNLCs protect and stabilize miRNAs, and also enhance cellular uptake, which results in effective nucleic acid-based therapy. Another approach, found in literature, to enhance cellular uptake is coating particles with human serum albumin (HSA) (Liu et al., 2012). Therefore, the effect of functionalization of miRNA-cNLC complexes with HSA was investigated. The physicochemical properties of uncoated and HSA-coated complexes were compared in terms of particle size, size distribution, surface charge, topography, and cellular uptake in 3T3-L1 mouse embryonic fibroblasts and MCF-7 human breast cancer cells.

Background: Adolescents are a susceptible population in terms of medication use. They are not only inclined to abuse illegal substances but are also prone to nonmedical medication use, which exposes them to a significant risk of various adverse drug reactions (ADR). Objective: This research aims to assess medication use among adolescents in Sarajevo Canton. Methods: This paper features information about the most frequently used medications, reasons for their use, sources of their procurement, ADR and concurrent use with other medications and/or alcohol. To obtain this data, a questionnaire with open- and close-ended questions was created. The survey was conducted online and 444 participants were included. Results: Medications were used by 90.1% of adolescents. The most commonly used medications were non-opioid analgesics, antibiotics, dietary supplements, antihistamines and benzodiazepines. Mild to moderate pain was the most frequent reason for medication use. Participants were at risk of ADR, drug-drug interactions (DDI), and drug-alcohol interactions. Conclusion: It is up to healthcare workers, especially pharmacists, to educate and guide adolescent patients on rational medication use and inform them about potential dangers following the use of these medications.

Although solid oral dosage forms present majority of commonly prescribed drugs, some patients struggle with ingesting them (Awad et al., 2021). Amongst those, a very significant group is the pediatric population. On the other side, questions concerning dosage consistency arise when it comes to liquid oral preparations, particularly for suspensions (Gupta et al., 2021). To avoid the limitations of conventional oral dosage forms, orodispersible films (ODFs) were developed as a promising, patient-tailored therapeutic alternative. After the administration, ODFs are swallowed naturally with saliva, and there is no need for additional water (Yadav et al., 2021). Furthermore, in terms of the pediatric population, the product not only has to be easy to swallow, but it also has to be visually appealing. Therefore, a lot of attention is dedicated to the visual appearance of ODFs, including their color and transparency or opacity (Zamanian et al., 2021). One of the methods used to produce ODFs is the solvent casting of polymer solution/dispersion. The aim of our study was to determine whether high shear mixer heads have an influence on the optical characteristics and disintegration time of the obtained ODFs.

Nowadays, nucleic acids are gaining much attention as leading therapeutics. MicroRNAs (miRNAs) are one part of this family of promising tools that can be used in the treatment of numerous diseases. However, the application of miRNAs is limited due to their poor stability and limited cellular uptake. Here, we developed cationic nanostructured lipid carriers (cNLCs) as delivery agents for miRNA. Furthermore, we used human serum album (HSA) as a coat for the cNLCs, to see how it will influence the uptake. These nanoparticles showed favorable physicochemical properties to be used as drug delivery systems, as they successfully complexed miRNA. Therefore, our next goal is to study and understand their cellular uptake. For this purpose, we traced the uptake of the miRNA/cNLCs in two different cell lines (3T3-L1 and MCF-7 cells) under varying experimental conditions.

Key Points • Fifty-two percent of patients with iMCD treated with siltuximab with/without corticosteroids achieved response.• Corticosteroids alone are not effective in iMCD symptom management.